Samantha Kate Hubbell, MC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C7815 Issued in OR

Practice address

45 NW Greeley Ave
Bend, OR 97703-2943

Phone

(425) 299-3097

NPI assigned

Oct 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Kate Hubbell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Wild Within Wellness LLC

  • Mental Health Counselor
  • Bend, OR
  • NPI 1316762701

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1891457032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FAIRFIELD ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043304401",
            "telephone_number": "425-299-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032943",
            "telephone_number": "425-299-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "SAMANTHA",
        "middle_name": "KATE",
        "credential": "MC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C7815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HUBBELL",
            "middle_name": "KATE",
            "credential": "LPCI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jenn Howie
• Kathleen Ann Hoyt, PHD
• Meredith Hoyt, MS, TSPC
• Phyllis Huang, D.O
• Laurel Lyn Hubbard, RN
• Heike K. Huchler, FNP
• Jaired Hudson, ARNP
• Michael R. Hudson, MD
• Benjamin David Huff, LPC
• John H Huffine, PH.D.

• All providers in Bend, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.