Individual provider Active NPI

Samantha Leone, LCAT, ATR-BC

  • Art Therapist
  • East Northport, NY
National Provider Identifier
1992252977
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
05001861 Issued in NY
Practice address
517 Larkfield Rd
East Northport, NY 11731-4208
Phone
(631) 229-7832
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NY
Art Therapist 221700000X 05001861 NY Primary

Addresses

Primary practice location

517 Larkfield Rd
East Northport, NY 11731-4208

Mailing address

17 John St
Smithtown, NY 11787-1221
Phone (516) 589-2030

Other practice location 1

1976 Grand Ave
North Baldwin, NY 11510-2813
Phone (516) 740-5630

Other names 1

  • Samantha Halpin Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05001861NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1992252977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JOHN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871221",
            "telephone_number": "516-589-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314208",
            "telephone_number": "631-229-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1976 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "North Baldwin",
            "state": "NY",
            "postal_code": "115102813",
            "country_code": "US",
            "telephone_number": "516-740-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONE",
        "first_name": "SAMANTHA",
        "credential": "LCAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "05001861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HALPIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.