Samantha Lynn Shifflett, MS, RLPC
Individual provider Active NPI Mental Health Counselor · Rochelle, VA
NPI 1962273706 · NPPES record last updated Jan 10, 2024
Key facts
- NPI
- 1962273706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 40 Commerce LN
Rochelle, VA 22738-4009 - Phone
- (434) 882-2699
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
40 Commerce LN
Rochelle, VA 22738-4009
Mailing address
40 Commerce LN
Rochelle, VA 22738-4009
Other providers in Rochelle, VA
All providers in Rochelle, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.