Samantha Schussler, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00628600 Issued in NJ

Practice address

940 Cedar Bridge Ave FL 2
Brick, NJ 08723-4170

Phone

(908) 944-7944

Fax

(732) 475-6175

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Exceptional Wellness Counseling, Inc.

  • Clinical Social Worker
  • Manalapan, NJ
  • NPI 1639613862
  Medicare reassignment
• Childpsych Services, LLC

  • Child & Adolescent Psychiatry Physician
  • Freehold, NJ
  • NPI 1194297614
  NPD (past)
• Genpsych Brick

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brick, NJ
  • NPI 1477035996
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1992570865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 FOOTHILL RD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072255",
            "telephone_number": "908-944-7944",
            "fax_number": "732-475-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CEDAR BRIDGE AVE FL 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234170",
            "telephone_number": "908-944-7944",
            "fax_number": "732-475-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSSLER",
        "first_name": "SAMANTHA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00628600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Schneiderman, M.D.
• Charles Thomas Schoch, LCSW
• Casey R Schoenlank, M.D.
• Christine Schuler
• Joseph James Schumacher, PH.D.
• Avigial Schustal
• Shannon E Scibor, LPC
• Scott J Lloyd DC PA
• Michele Scott
• Shannon Scott

• Mental Health Counselor in Brick, NJ
• Providers in Brick, 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 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.