Safe Space Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAFE SPACE THERAPY, LLC

Practice address

1551 Winchester Dr
Westlake, OH 44145-2113

Phone

(216) 307-3919

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Samantha Rae Brown, LPCCS, LCDC III, NCCNPI 1912421371

Title

Owner

Phone

(216) 307-3919

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Rae Brown, LPCCS, LCDC III, NCC

  • Professional Counselor
  • Buena Park, CA
  • NPI 1912421371

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684540800000",
    "number": "1922731546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 WINCHESTER DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452113",
            "telephone_number": "216-307-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 WINCHESTER DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452113",
            "telephone_number": "216-307-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-307-3919",
        "authorized_official_credential": "LPCCS, LCDC III, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Ryan
• Claire Elizabeth Ryder
• Emile Sabbagh, MD
• Susanne Sacco, LISW
• Jacob David Sadik, M.D.
• Saint Vincent Charity Medical Center
• Matthew Salay, DO
• Muna Saleh
• Bashar Salem, MD
• Angela Sales

• Mental Health Counselor in Westlake, OH
• Providers in Westlake, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; 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.