SAMANTHA SNOW SKELLEY LPCC
NPI 1053734103
Counselor - Professional in Canton, OH

Q: What is Samantha Skelley's NPI number?

The NPI number for Samantha Skelley is 1053734103. It was assigned to this individual provider in the NPPES registry on January 27, 2014. The provider is also known as Samantha Snow White.

Q: What is Samantha Skelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Skelley was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 27, 2014

625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Oct 17, 2017 (2 updates tracked since 2017).

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About Samantha Snow Skelley Lpcc NPPES

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

SAMANTHA SNOW SKELLEY LPCC (NPI 1053734103) is an individual professional provider in Canton, Ohio, licensed in Ohio (E.1700176) and active in the NPI registry since January 2014. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1053734103

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSAMANTHA SNOW SKELLEYCredential: LPCC

Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805

Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 453-8252 · Fax (330) 453-6716

Phone(330) 455-0374

Fax(330) 455-2101

Sole ProprietorNo

Enumeration DateJanuary 27, 2014

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1053734103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OH · E.1700176

625 CLEVELAND AVE NW, Canton, OH 44702

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Other Names 1

Former Name (1)Samantha Snow White

Secondary Practice Location 1

Location 14895 Dressler Road NWCanton, OH 44718 · Phone (330) 493-0083 · Fax (330) 493-3689

Other Identifiers 1

Medicaid2864191OH

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.

DOUGLAS KEVIN STEVENS CNP

Nurse Practitioner (Psychiatric/Mental Health)