Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA MARIE BURGOS CT
NPI 1023570579
Counselor in Canton, OH

Q: What is Samantha Burgos's NPI number?

The NPI number for Samantha Burgos is 1023570579. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Q: What is Samantha Burgos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Burgos was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since April 03, 2019

4522 FULTON DR NW, CANTON, OH 44718(330) 915-2907(330) 915-2958 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Apr 3, 2019 (2 updates tracked since 2019).

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About Samantha Marie Burgos Ct NPPES

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

SAMANTHA MARIE BURGOS CT (NPI 1023570579) is an individual counselor in Canton, Ohio, licensed in Ohio (C.2608204-TRNE) and active in the NPI registry since April 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023570579

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSAMANTHA MARIE BURGOSCredential: CT

Location Address4522 FULTON DR NWCanton, OH 44718-2332

Mailing Address4522 Fulton Dr NwCanton, OH 44718-2332 · (330) 915-2907 · Fax (330) 915-2958

Phone(330) 915-2907

Fax(330) 915-2958

Sole ProprietorYes

Enumeration DateApril 3, 2019

Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1023570579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OH · C.2608204-TRNE

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.

4522 FULTON DR NW, Canton, OH 44718

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Secondary Practice Locations 2

Location 14200 Munson St NW Ste ACanton, OH 44718-2981 · Phone (330) 915-2907 · Fax (330) 915-2958

Location 25611 Hudson Dr Ste 400Hudson, OH 44236-4452 · Phone (330) 915-2907 · Fax (330) 915-2958

Other Providers at the Same Location NPPES 20

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

ALEXIS GIBBS LPC

Counselor (Professional)