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MS. CAROL B. SAMPSON MFT
NPI 1114949427
Marriage & Family Therapist in Santa Rosa, CA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
405 CHINN ST STE 103, SANTA ROSA, CA 95404(707) 579-0239(707) 579-0240 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Carol B. Sampson Mft NPPES

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

MS. CAROL B. SAMPSON MFT (NPI 1114949427) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFT22461) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1114949427
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. CAROL B. SAMPSONCredential: MFT
Location Address405 CHINN ST STE 103Santa Rosa, CA 95404-4311
Mailing Address405 Chinn St Ste 103Santa Rosa, CA 95404-4311 · (707) 579-0239 · Fax (707) 579-0240
Phone(707) 579-0239
Fax(707) 579-0240
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 4, 2019
✔ NPI 1114949427 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 CA · MFT22461
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.
405 CHINN ST STE 103, Santa Rosa, CA 95404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Carol B. Sampson Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173967049
PECOS Enrollment IDI20240219002864
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Carol Sampson's NPI number?

The NPI number for Carol Sampson is 1114949427. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Carol Sampson located?

Carol Sampson practices at 405 Chinn St Ste 103, Santa Rosa, CA 95404. The listed phone number is (707) 579-0239.

What is Carol Sampson's specialty?

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

Is Carol Sampson enrolled in Medicare?

Yes. Carol Sampson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carol Sampson accept?

Health plans from Providence Health Plan list Carol Sampson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carol Sampson was last updated on September 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.