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SAMANTHA RONAE BUMGUARDNER YOUTH SERVICE
NPI 1013738244
Counselor in Sallisaw, OK

Active since October 21, 2024
205 J T STITES BLVD, SALLISAW, OK 74955(918) 775-7787(918) 775-0328 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Ronae Bumguardner Youth Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA RONAE BUMGUARDNER YOUTH SERVICE (NPI 1013738244) is an individual counselor in Sallisaw, Oklahoma and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1013738244
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA RONAE BUMGUARDNERCredential: YOUTH SERVICE
Location Address205 J T STITES BLVDSallisaw, OK 74955-9323
Mailing Address205 S J T Stites StSallisaw, OK 74955-9301 · (918) 775-7787
Phone(918) 775-7787
Fax(918) 775-0328
Sole ProprietorNo
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1013738244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
205 J T STITES BLVD, Sallisaw, OK 74955
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Other Names 1

Former Name (1)Samantha Ronae Ansani

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN EDWARDS
Counselor (Mental Health)
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
TINA ONEIL
Peer Specialist
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
NICOLE MEDAK
Counselor
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
PEOPLE INC. OF SEQUOYAH CO
Clinic/Center (Mental Health (Including Community Mental Health Center))
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
ABAGAIL PHILLIPS
Counselor
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
ALBIS RAMOS
Counselor (Mental Health)
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
OTT HUNTER
Counselor (Mental Health)
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787
CALLY JANETTE JOHNSON
Counselor
205 J T STITES BLVD
SALLISAW, OK 74955
Sequoyah County (918) 775-7787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Bumguardner's NPI number?

The NPI number for Samantha Bumguardner is 1013738244. It was assigned to this individual provider in the NPPES registry on October 21, 2024. The provider is also known as Samantha Ronae Ansani.

Where is Samantha Bumguardner located?

Samantha Bumguardner practices at 205 J T Stites Blvd, Sallisaw, OK 74955. The listed phone number is (918) 775-7787.

What is Samantha Bumguardner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Samantha Bumguardner was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.