Samantha Pierce

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3010 3Rd St S
Jacksonville Beach, FL 32250-5857

Phone

(904) 694-2552

NPI assigned

Apr 2, 2025

Last updated

Apr 3, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• My Life Jax Therapy and Coaching

  • Community/Behavioral Health Agency
  • Jacksonville Beach, FL
  • NPI 1720895931
  NPD

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1962206565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14790 CASHEW AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505857",
            "telephone_number": "904-694-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Megan Peterson, LMT
• Gary Robert Peterson, MA,LMHC,CEAP,SAP
• Jessica Phillips, IBCLC
• Wendy Colleen Phou, M.S., CF-SLP
• Physicians Group Services PA (Coastal Health)
• Kenneth Arthur Piering, D.C.
• Christine C Pierre, MD
• Danielle Pitts
• Reagan K Pobst, PA-C
• Podiatry & Barefoot Wellness Centers LLC

• Mental Health Counselor in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.