Sheree L Sampson, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A11861 Issued in NC

Practice address

812 Candy Park Rd Ste 7101a
Pembroke, NC 28372-9121

Phone

(910) 827-1169

Fax

(910) 522-1464

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chaparral Youth Services

  • Community/Behavioral Health Agency
  • Pembroke, NC
  • NPI 1982834073
  NPD (past) Authorized official
• Chaparral Youth Services II

  • Home Health Agency
  • Pembroke, NC
  • NPI 1881098093
  NPD (past) Authorized official

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1912378993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1814",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721814",
            "telephone_number": "910-827-1169",
            "fax_number": "910-522-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CANDY PARK RD STE 7101A",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729121",
            "telephone_number": "910-827-1169",
            "fax_number": "910-522-1464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5973 McLeod Dr",
            "address_purpose": "LOCATION",
            "city": "Maxton",
            "state": "NC",
            "postal_code": "283647211",
            "country_code": "US",
            "telephone_number": "910-827-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4850 Fayetteville Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582100",
            "country_code": "US",
            "telephone_number": "910-827-1169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "SHEREE",
        "middle_name": "L",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Rushing
• Antwinette Russell
• Sagamore Services LLC
• Sampson Family Care Home
• Jessica Collins Sampson, D.D.S.
• Sampson'S Family Support, LLC
• Esmeralda Sanchez
• Alex Jonathan Sanderson, PAC
• Sandhill'S Home Care LLC
• Sandhills Home Care, LLC

• Mental Health Counselor in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.