Samantha Alana Sampath, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010603 Issued in NY

Practice address

799 S 3Rd St Apt 2534
Harrison, NJ 07029-2190

Phone

(917) 287-1421

NPI assigned

Nov 17, 2020

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

• Mrs. Samantha Alana Sampath-Reynolds Other name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Octave Psychiatry Behavioral Health PC

  • Psychologist
  • New York, NY
  • NPI 1821573023
  Medicare reassignment NPD
• Octave Psychiatry Behavioral Health PC

  • Psychologist
  • New York, NY
  • NPI 1467251660
  NPD
• Octave Behavioral Health PC

  • Psychologist
  • San Francisco, CA
  • NPI 1184199549
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1992308555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 S 3RD ST APT 2534",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292190",
            "telephone_number": "917-287-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 S 3RD ST APT 2534",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292190",
            "telephone_number": "917-287-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPATH",
        "first_name": "SAMANTHA",
        "middle_name": "ALANA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "SAMPATH-REYNOLDS",
            "middle_name": "ALANA",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Harrison, NJ
• Providers in Harrison, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.