Samantha Rae Brown, LPCCS, LCDC III, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18302 Issued in CA

Practice address

6343 Lincoln Ave Apt O2
Buena Park, CA 90620-3693

Phone

(216) 307-3919

NPI assigned

Jul 27, 2017

Last updated

Aug 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire Wellness Mental Health Group

  • Mental Health Counselor
  • Lakewood, CA
  • NPI 1346134483
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH

  Medicare reassignment
• Empire Wellness, LLC

  • Mental Health Counselor
  • Lakewood, CA
  • NPI 1801681853
  NPD (past) Authorized official
• Safe Space Therapy, LLC

  • Mental Health Counselor
  • Westlake, OH
  • NPI 1922731546
  NPD (past) Authorized official

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1912421371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 LINCOLN AVE APT O2",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203693",
            "telephone_number": "216-307-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 LINCOLN AVE APT O2",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203693",
            "telephone_number": "216-307-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "credential": "LPCCS, LCDC III, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2202719",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013417",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Theresa Borromeo, LVN
• BP Medical Group Inc
• BP Pharmacy, Inc. (Buena Park Pharmacy)
• Branching Tree Speech Therapy
• Bridge Physical Therapy Professional Corporation
• Marie Yvette Mandilag Buan Sr., DDS
• Amanda Marie Buchheit, CLINSCID
• Buena Park Chiropractic Inc (NuLux Medical)
• Buena Park Medical Group
• Buena Park Rehab & Physical Therapy, Inc

• Professional Counselor in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.