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SAMANTHA BEAUDRY
NPI 1063372209
Counselor in Maryville, TN

Active since November 12, 2025
1704 E BROADWAY AVE, MARYVILLE, TN 37804(865) 681-6990 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Beaudry NPPES

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

SAMANTHA BEAUDRY (NPI 1063372209) is an individual counselor in Maryville, Tennessee and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1063372209
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA BEAUDRY
Location Address1704 E BROADWAY AVEMaryville, TN 37804-2916
Mailing Address200 Tech Center DrKnoxville, TN 37912-2747 · (865) 637-9711
Phone(865) 681-6990
Sole ProprietorNo
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1063372209 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.

1704 E BROADWAY AVE, Maryville, TN 37804
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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.

MARA MAURER
Counselor (Mental Health)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 681-6990
COLE DAVID HOFFMAN
Counselor (Mental Health)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 681-6990
JENNIFER MICHELLE HIGHTOWER MS, NCC
Counselor (Mental Health)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 681-6990
KATHERINE ELLEN FLEMING
Counselor
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 681-6990
ALYSSA NICOLE SMITH
Case Manager/Care Coordinator
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 681-6990
CAROLINE MURPHY LPC-MHSP
Counselor (Professional)
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 681-6990
EDEN FLANDERS
Technician, Health Information
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 637-9711
BRYON EDWARD HART
Counselor
1704 E BROADWAY AVE
MARYVILLE, TN 37804
Blount County (865) 681-6990

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 Beaudry's NPI number?

The NPI number for Samantha Beaudry is 1063372209. It was assigned to this individual provider in the NPPES registry on November 12, 2025.

Where is Samantha Beaudry located?

Samantha Beaudry practices at 1704 E Broadway Ave, Maryville, TN 37804. The listed phone number is (865) 681-6990.

What is Samantha Beaudry'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 Beaudry was last updated on November 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.