Heather A Samkowiak

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401013702 Issued in MI

Practice address

101 River St
Boyne City, MI 49712-1234

Phone

(989) 370-4225

NPI assigned

Nov 5, 2014

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

Other names 1

• Ms. Heather Daugherty Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1962808782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 OPAL LAKE RD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVER ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121234",
            "telephone_number": "989-370-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMKOWIAK",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DAUGHERTY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Verville Counseling LLC
• Corey Redman
• Katherine Redman
• Kelly Elaine Richey, B.S
• Susan Lee Roache, OTR/L
• Bryan P Shumaker, MD
• Silver Wave Care LLC
• Tammy L Slaght
• Gretchen Stelter
• Summertree Residential Centers

• Counselor in Boyne City, MI
• Providers in Boyne City, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.