Individual provider Active NPI

Samantha Chadwell

  • Counselor
  • Lakewood, OH
National Provider Identifier
1962096719
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
14837 Detroit Ave # 193
Lakewood, OH 44107-3909
Phone
(216) 270-2904
Fax
(888) 684-5911
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X OH Primary

Addresses

Primary practice location

14837 Detroit Ave # 193
Lakewood, OH 44107-3909

Mailing address

25 Meadow St
Buckhannon, WV 26201-2246
Phone (419) 787-7424

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260212002534 OH Practitioner - Mental Health Counselor 0840770541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14837 Detroit Ave
Suite 193
Lakewood, OH 44107-3909

25 Meadow St
Buckhannon, WV 26201-2246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Wellness Institute, LLC Multi-Specialty CurrentSince Jan 8, 2026 Accepting new patients
Cornerstone Behavioral Health LLC Multi-Specialty CurrentSince Jan 8, 2026 Accepting new patients

Locations

780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077

14837 Detroit Ave
Lakewood, OH 44107
Phone (216) 952-1490

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1962096719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEADOW ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012246",
            "telephone_number": "419-787-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14837 DETROIT AVE # 193",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073909",
            "telephone_number": "216-270-2904",
            "fax_number": "888-684-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWELL",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.