SAMUEL J NORTHINGTON JR.
NPI 1174135461
Counselor in Petersburg, VA

Q: What is Samuel Northington's NPI number?

The NPI number for Samuel Northington is 1174135461. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Q: What is Samuel Northington's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Active since August 19, 2020PECOS Enrolled

20 W BANK ST, PETERSBURG, VA 23803(804) 731-5570 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Samuel J Northington Jr. NPPES

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

SAMUEL J NORTHINGTON JR. (NPI 1174135461) is an individual counselor in Petersburg, Virginia, licensed in Virginia (0701009784) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174135461

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSAMUEL J NORTHINGTON JR.

Location Address20 W BANK STPetersburg, VA 23803-3279

Mailing Address1742 S Sycamore StPetersburg, VA 23805-1627 · (804) 731-5570

Phone(804) 731-5570

Sole ProprietorYes

Enumeration DateAugust 19, 2020

NPPES CertifiedAugust 19, 2020

✔ NPI 1174135461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in VA · 0701009784

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.

20 W BANK ST, Petersburg, VA 23803

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel J Northington Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

COREENA ELEANOR BARNES

Licensed Practical Nurse

20 W BANK ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-8002

TONETTE S ROBERTSON LCSW

Social Worker (Clinical)

20 W BANK ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-8000

ASHELY RYAN LPC

Counselor (Professional)

20 W BANK ST, SUITE 5
PETERSBURG, VA 23803

Dinwiddie County (804) 863-1689

SANDRA LUCILE PAINTER CPHT

Pharmacy Technician

20 W BANK ST, SUITE 6
PETERSBURG, VA 23803

Dinwiddie County (804) 862-8002

YESENIA ADENT LPC

Counselor (Mental Health)

20 W BANK ST, SUITE 3
PETERSBURG, VA 23803

Dinwiddie County (804) 722-4299

RONALD SMITH PHD, LPC

Counselor (Professional)

20 W BANK ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-8023

KINEA SAVEDGE LPC

Counselor (Professional)

20 W BANK ST
PETERSBURG, VA 23803

Dinwiddie County (804) 862-8002

MS. MARY RUTH BERREY LPC

Counselor (Professional)

20 W BANK ST, SUITE 6
PETERSBURG, VA 23803

Dinwiddie County (804) 862-8002

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 Samuel Northington's NPI number?

The NPI number for Samuel Northington is 1174135461. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Samuel Northington located?

Samuel Northington practices at 20 W Bank St, Petersburg, VA 23803. The listed phone number is (804) 731-5570.

What is Samuel Northington's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samuel Northington enrolled in Medicare?

Yes. Samuel Northington is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Northington was last updated on August 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.