MRS. SAMANTHA ROSE KINKOPF MA, LHMC (MH 20499)
NPI 1235888082
Counselor - Mental Health in Jacksonville, FL

Active since March 21, 2022
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256(646) 941-7645 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Samantha Rose Kinkopf Ma, Lhmc (mh 20499) NPPES

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

MRS. SAMANTHA ROSE KINKOPF MA, LHMC (MH 20499) (NPI 1235888082) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (20499) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1235888082
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SAMANTHA ROSE KINKOPFCredential: MA, LHMC (MH 20499)
Location Address4651 SALISBURY RD STE 400Jacksonville, FL 32256-6187
Mailing Address4651 Salisbury Rd Ste 400Jacksonville, FL 32256-6187 · (646) 941-7645
Sole ProprietorYes
Enumeration DateMarch 21, 2022
Last NPPES UpdateMay 3, 2024
NPPES CertifiedSeptember 8, 2023
NPI 1235888082 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 FL · 20499
4651 SALISBURY RD STE 400, Jacksonville, FL 32256

Other Names 1

Former Name (1)Miss Samantha Rose Shaffer

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.

Behavior Technician
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Social Worker (Clinical)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256
Counselor (Mental Health)
4651 SALISBURY RD STE 400
JACKSONVILLE, FL 32256

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 Kinkopf's NPI number?

The NPI number for Samantha Kinkopf is 1235888082. It was assigned to this individual provider in the NPPES registry on March 21, 2022. The provider is also known as Miss Samantha Rose Shaffer.

Where is Samantha Kinkopf located?

Samantha Kinkopf practices at 4651 Salisbury Rd Ste 400, Jacksonville, FL 32256. The listed phone number is (646) 941-7645.

What is Samantha Kinkopf'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 Kinkopf was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.