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SAMANTHA BROOKE SKELTON LPC
NPI 1093525990
Counselor - Mental Health in Philadelphia, PA

Active since January 13, 2025
4640 E ROOSEVELT BLVD STE 3, PHILADELPHIA, PA 19124(844) 995-1212 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Brooke Skelton Lpc NPPES

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

SAMANTHA BROOKE SKELTON LPC (NPI 1093525990) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC016191) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1093525990
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA BROOKE SKELTONCredential: LPC
Location Address4640 E ROOSEVELT BLVD STE 3Philadelphia, PA 19124-2300
Mailing Address4640 E Roosevelt Blvd Ste 3Philadelphia, PA 19124-2300 · (844) 995-1212
Phone(844) 995-1212
Sole ProprietorYes
Enumeration DateJanuary 13, 2025
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1093525990 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 PA · PC016191
4640 E ROOSEVELT BLVD STE 3, Philadelphia, PA 19124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

JACQUELINE NICOLE BROWN CRAWFORD
Nurse Practitioner (Family)
4640 E ROOSEVELT BLVD STE 3
PHILADELPHIA, PA 19124
Philadelphia County (215) 315-1414

Frequently Asked Questions

What is Samantha Skelton's NPI number?

The NPI number assigned to this healthcare provider is 1093525990, enumerated as an "individual" on January 13, 2025.

Where is the provider located?

The provider is located at 4640 E ROOSEVELT BLVD STE 3 PHILADELPHIA, PA 19124 and the phone number is (844) 995-1212.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does Samantha Skelton accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.