SARA SAMUELS LMFT
NPI 1104590306
Marriage & Family Therapist in Philadelphia, PA

Q: What is Sara Samuels's NPI number?

The NPI number for Sara Samuels is 1104590306. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Q: What is Sara Samuels's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Sara Samuels enrolled in Medicare?

No. Sara Samuels has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sara Samuels was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 03, 2021Opted out of Medicare · through Jun 17, 2028

1800 JFK BLVD STE 1406, PHILADELPHIA, PA 19103(215) 840-6253 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Oct 5, 2021, Aug 3, 2021 (3 updates tracked since 2021).

On this page

About Sara Samuels Lmft NPPES

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

SARA SAMUELS LMFT (NPI 1104590306) is an individual marriage & family therapist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MF001243) and active in the NPI registry since August 2021. She has opted out of Medicare through June 17, 2028.

NPPES Registry Identity

NPI1104590306

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSARA SAMUELSCredential: LMFT

Location Address1800 JFK BLVD STE 1406Philadelphia, PA 19103-7437

Mailing Address1800 Jfk Blvd Ste 1406Philadelphia, PA 19103-7437 · (215) 840-6253

Phone(215) 840-6253

Sole ProprietorNo

Enumeration DateAugust 3, 2021

Last NPPES UpdateJune 5, 20233 updates tracked since enumeration

NPPES CertifiedJune 5, 2023

✔ NPI 1104590306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in PA · MF001243

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1800 JFK BLVD STE 1406, Philadelphia, PA 19103

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sara Samuels Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2024 through June 17, 2028.

Opt-Out Effective DateJune 17, 2024

Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

AMANDA CILLEY MFT

Marriage & Family Therapist

1800 JFK BLVD STE 1406
PHILADELPHIA, PA 19103

Philadelphia County (267) 341-7224

KELLY POHLIG

Counselor (Professional)

1800 JFK BLVD STE 1406
PHILADELPHIA, PA 19103

Philadelphia County (484) 254-6488

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 Sara Samuels's NPI number?

The NPI number for Sara Samuels is 1104590306. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Sara Samuels located?

Sara Samuels practices at 1800 Jfk Blvd Ste 1406, Philadelphia, PA 19103. The listed phone number is (215) 840-6253.

What is Sara Samuels's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Sara Samuels enrolled in Medicare?

No. Sara Samuels has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sara Samuels was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.