Individual provider Active NPI

Samantha Weber Laurie

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1932402732
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
117785 Issued in CA
Practice address
55 Independence Cir Ste 106
Chico, CA 95973-4909
Phone
(530) 521-5818
NPI assigned
Dec 16, 2010
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 117785 CA Primary

Addresses

Primary practice location

55 Independence Cir Ste 106
Chico, CA 95973-4909

Mailing address

55 Independence Cir Ste 106
Chico, CA 95973-4909
Phone (530) 521-5818

Other practice location 1

260 Cohasset Rd Ste 120
Chico, CA 95926-2282
Phone (530) 894-5933

Other identifiers 2

IdentifierTypeStateIssuer
1932402732OtherUNK
1932402737OtherCANPI

Other names 1

  • Samantha Marie Weber Former name

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

LicenseStateTypeSpecialty
117785CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Youth for Change CurrentSince Feb 6, 2022 Accepting new patients
Stonebridge Counseling Inc Marriage & Family Therapist Past Accepting new patients

Locations

260 Cohasset Rd
Ste 120
Chico, CA 95926
Phone (530) 877-1965

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1932402732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 INDEPENDENCE CIR STE 106",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734909",
            "telephone_number": "530-521-5818",
            "fax_number": "530-521-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 INDEPENDENCE CIR STE 106",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734909",
            "telephone_number": "530-521-5818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Cohasset Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959262282",
            "country_code": "US",
            "telephone_number": "530-894-5933",
            "fax_number": "530-894-5791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURIE",
        "first_name": "SAMANTHA",
        "middle_name": "WEBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNK",
            "identifier": "1932402732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932402737",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "WEBER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.