Samantha J Kramer, LPC
Individual provider Active NPI Mental Health Counselor · Mentor, OH
NPI 1992528004 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1992528004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- C.2305324 (OH)
- Practice address
- 8500 Station St Ste 300-J
Mentor, OH 44060-4963 - Phone
- (440) 721-8979
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2305324 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Space for Healing | Current |
Accepting new patients |
Locations
8500 Station St
Ste 300-J
Mentor, OH 44060
Phone (216) 264-9688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2305324 | OH | Yes |
Addresses
Primary practice location
8500 Station St Ste 300-J
Mentor, OH 44060-4963
Mailing address
7519 Mountain Park Dr
Concord Township, OH 44060-7231
Phone (440) 413-4957
Other providers in Mentor, OH
- Mary C Kozina
- Jennie C Kozlik
- Tamara Ann Kraft
- Tara Krall
- Michelle Kramer
- Stacy Marie Kramer
- Linda Kraska
- Jason Matthew Kravetz
- Colbertson Kreger
- Alison Krema
All providers in Mentor, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 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.