SAMANTHA TAYLOR SOUTHARD LMHC
NPI 1043818271
Counselor - Mental Health in Staten Island, NY

Q: What is Samantha Southard's NPI number?

The NPI number for Samantha Southard is 1043818271. It was assigned to this individual provider in the NPPES registry on October 10, 2020.

Q: What is Samantha Southard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Southard was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 October 10, 2020

2285 VICTORY BLVD STE 1, STATEN ISLAND, NY 10314(646) 389-3797 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2024, Apr 15, 2024, Oct 10, 2020 (3 updates tracked since 2020).

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About Samantha Taylor Southard Lmhc NPPES

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

SAMANTHA TAYLOR SOUTHARD LMHC (NPI 1043818271) is an individual mental health provider in Staten Island, New York, licensed in New York (014490) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1043818271

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSAMANTHA TAYLOR SOUTHARDCredential: LMHC

Location Address2285 VICTORY BLVD STE 1Staten Island, NY 10314-6631

Mailing Address2285 Victory Blvd Ste 1Staten Island, NY 10314-6631 · (646) 389-3797

Phone(646) 389-3797

Sole ProprietorYes

Enumeration DateOctober 10, 2020

Last NPPES UpdateJune 7, 20243 updates tracked since enumeration

NPPES CertifiedJune 7, 2024

✔ NPI 1043818271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 014490

2285 VICTORY BLVD STE 1, Staten Island, NY 10314

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Southard's NPI number?

The NPI number for Samantha Southard is 1043818271. It was assigned to this individual provider in the NPPES registry on October 10, 2020.

Where is Samantha Southard located?

Samantha Southard practices at 2285 Victory Blvd Ste 1, Staten Island, NY 10314. The listed phone number is (646) 389-3797.

What is Samantha Southard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Southard was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.