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SHACKOLA SAMANTHA SYMONS LMHC, NCC
NPI 1255842464
Counselor - Mental Health in New Rochelle, NY

Active since October 14, 2017PECOS Enrolled
481 MAIN ST, NEW ROCHELLE, NY 10801(914) 355-2440 Get Directions Write a Review

NPPES record last updated: October 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shackola Samantha Symons Lmhc, Ncc NPPES

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

SHACKOLA SAMANTHA SYMONS LMHC, NCC (NPI 1255842464) is an individual mental health provider in New Rochelle, New York, licensed in New York (006456-1) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255842464
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHACKOLA SAMANTHA SYMONSCredential: LMHC, NCC
Location Address481 MAIN STNew Rochelle, NY 10801-6324
Mailing Address362 S 4th AveMount Vernon, NY 10550-4132 · (718) 614-2093
Phone(914) 355-2440
Sole ProprietorYes
Enumeration DateOctober 14, 2017
✔ NPI 1255842464 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 NY · 006456-1
481 MAIN ST, New Rochelle, NY 10801
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shackola Samantha Symons Lmhc, Ncc 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.

DR. NILDA E. HERNANDEZ PH.D., LCSW-R
Social Worker (Clinical)
481 MAIN ST, SUITE 403
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440
MS. ADRIANA CAROLINA DAZA M.S
Counselor (Mental Health)
481 MAIN ST, SUITE 401
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440
MS. MARISSA BARNES LMHC
Counselor (Mental Health)
481 MAIN ST
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440
MS. KRISTEN TEDROW LCSW
Social Worker (Clinical)
481 MAIN ST
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440
INGRID TAPIA LMHC
Counselor (Mental Health)
481 MAIN ST, SUITE 401
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440
ALEXA FOX
Social Worker (Clinical)
481 MAIN ST
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440
MATTHEW DIAMOND LMSW
Social Worker (Clinical)
481 MAIN ST
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440
MRS. CATHERINE BROCCOLI LMFT
Marriage & Family Therapist
481 MAIN ST, SUITE 401
NEW ROCHELLE, NY 10801
Westchester County (914) 355-2440

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 Shackola Symons's NPI number?

The NPI number for Shackola Symons is 1255842464. It was assigned to this individual provider in the NPPES registry on October 14, 2017.

Where is Shackola Symons located?

Shackola Symons practices at 481 Main St, New Rochelle, NY 10801. The listed phone number is (914) 355-2440.

What is Shackola Symons's specialty?

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

Is Shackola Symons enrolled in Medicare?

Yes. Shackola Symons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shackola Symons was last updated on October 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.