Individual provider Active NPI

Samantha Libert, LADC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1972001717
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
128572 Issued in KY
Practice address
1028 Barret Ave
Louisville, KY 40204-1667
Phone
(502) 451-1221
NPI assigned
Jan 26, 2018
Last updated
Jan 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304254 MN
Professional Counselor 101YP2500X 128572 KY Primary

Addresses

Primary practice location

1028 Barret Ave
Louisville, KY 40204-1667

Mailing address

1028 Barret Ave
Louisville, KY 40204-1667

Other names 1

  • Samantha Merry Professional 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
304254MNMDAddiction (Substance Use Disorder) Counselor
128572KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Morton Center, Inc. PastSince Dec 1, 2019 Accepting new patients
Katie E. Harmeier Addiction (Substance Use Disorder) Past Accepting new patients

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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1972001717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041667",
            "telephone_number": "502-451-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERT",
        "first_name": "SAMANTHA",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304254",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "128572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MERRY",
            "credential": "LPCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.