Individual provider Active NPI

Samantha Brownell

  • Social Worker
  • Moscow, ID
National Provider Identifier
1861222705
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110512 Issued in TX
Practice address
213 N Main St Ste 1B
Moscow, ID 83843-2700
Phone
(208) 683-8320
Fax
(208) 969-8380
NPI assigned
Aug 6, 2024
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6171142 ID
Social Worker 104100000X 110512 TX Primary

Addresses

Primary practice location

213 N Main St Ste 1B
Moscow, ID 83843-2700

Mailing address

148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320

Other practice location 1

148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320

Other practice location 2

411 Main St. Unit F
Kamiah, ID 83536
Phone (208) 683-8320

Other practice location 3

1630 23rd Ave Bldg 2
Lewiston, ID 83501-6350
Phone (208) 746-7784

Other practice location 4

496 Shoup Ave W
Twin Falls, ID 83301-5834
Phone (208) 683-8320

Other practice location 5

509 Trolley Way
Suite 104
Middleton, ID 83644
Phone (208) 683-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6171142IDMDMental Health Counselor
110512TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Body & Mind Health Services, LLC Mental Health PastSince Aug 2, 2021 Accepting new patients
A Body & Mind Health Services, LLC Mental Health PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1861222705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090932",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST STE 1B",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432700",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 S Cole Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837090932",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Main St. Unit F",
            "address_purpose": "LOCATION",
            "city": "Kamiah",
            "state": "ID",
            "postal_code": "83536",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 23rd Ave Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835016350",
            "country_code": "US",
            "telephone_number": "208-746-7784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 Shoup Ave W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015834",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Trolley Way",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "ID",
            "postal_code": "83644",
            "country_code": "US",
            "telephone_number": "208-683-8320",
            "fax_number": "208-969-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNELL",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "6171142",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "110512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.