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SAMANTHA NEMIROV
NPI 1124828843
Counselor - Mental Health in San Diego, CA

Active since March 13, 2025
4241 JUTLAND DR STE 207, SAN DIEGO, CA 92117(619) 733-6414 Get Directions Write a Review

NPPES record last updated: March 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2026, Mar 14, 2025 (2 updates tracked since 2025).

About Samantha Nemirov NPPES

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

SAMANTHA NEMIROV (NPI 1124828843) is an individual mental health provider in San Diego, California, licensed in California (LPCC22217) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1124828843
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA NEMIROV
Location Address4241 JUTLAND DR STE 207San Diego, CA 92117-3653
Mailing Address3288 5th Ave Apt 323San Diego, CA 92103-5751
Phone(619) 733-6414
Sole ProprietorNo
Enumeration DateMarch 13, 2025
Last NPPES UpdateMarch 15, 20262 updates tracked since enumeration
NPPES CertifiedMarch 15, 2026
✔ NPI 1124828843 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 CA · LPCC22217
4241 JUTLAND DR STE 207, San Diego, CA 92117
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Other Providers at the Same Location NPPES 3

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

ALEXANDRA SOLANA ROA LPCC
Counselor (Mental Health)
4241 JUTLAND DR STE 207
SAN DIEGO, CA 92117
San Diego County (619) 733-6414
NIA MARIE WILLIAMS
Counselor (Mental Health)
4241 JUTLAND DR STE 207
SAN DIEGO, CA 92117
San Diego County (619) 733-6414
MR. MICHAEL GIFFORD MARZONI
Marriage & Family Therapist
4241 JUTLAND DR STE 207
SAN DIEGO, CA 92117
San Diego County (619) 733-6414

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 Nemirov's NPI number?

The NPI number for Samantha Nemirov is 1124828843. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Samantha Nemirov located?

Samantha Nemirov practices at 4241 Jutland Dr Ste 207, San Diego, CA 92117. The listed phone number is (619) 733-6414.

What is Samantha Nemirov's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samantha Nemirov was last updated on March 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.