Active NPI
Samantha J Small
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1922869213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- SUDRC1-26378
- Practice address
- 6950 El Cajon Blvd
San Diego, CA 92115-1738 - Phone
- (619) 493-0077
- NPI assigned
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SUDRC1-26378 | CA | Primary |
Addresses
Primary practice location
6950 El Cajon Blvd
San Diego, CA 92115-1738
Mailing address
3113 Sweetwater Springs Blvd Apt 55
Spring Valley, CA 91978-1557
Phone (619) 729-6163
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106S00000X | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden View Learning Center, LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1922869213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3113 SWEETWATER SPRINGS BLVD APT 55",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919781557",
"telephone_number": "619-729-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6950 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921151738",
"telephone_number": "619-493-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "SAMANTHA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "SUDRC1-26378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.