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SAMANTHA JEAN ANTHONY RAD1
NPI 1639702210
Counselor in San Diego, CA

Active since February 21, 2020
3148 MIDWAY DR # 113, SAN DIEGO, CA 92110(619) 363-0853(619) 362-9905 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Jean Anthony Rad1 NPPES

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

SAMANTHA JEAN ANTHONY RAD1 (NPI 1639702210) is an individual counselor in San Diego, California and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1639702210
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA JEAN ANTHONYCredential: RAD1
Location Address3148 MIDWAY DR # 113San Diego, CA 92110-4539
Mailing Address3148 Midway Dr # 113San Diego, CA 92110-4539 · (619) 363-0853 · Fax (619) 362-9905
Phone(619) 363-0853
Fax(619) 362-9905
Sole ProprietorNo
Enumeration DateFebruary 21, 2020
✔ NPI 1639702210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.

3148 MIDWAY DR # 113, San Diego, CA 92110
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Other Providers at the Same Location NPPES 2

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

LAURA DENISE VICTORIA
Specialist/Technologist, Health Information
3148 MIDWAY DR # 113
SAN DIEGO, CA 92110
San Diego County (619) 363-0853
MR. SCOTT A JACKSON CADC II
Counselor (Addiction (Substance Use Disorder))
3148 MIDWAY DR # 113
SAN DIEGO, CA 92110
San Diego County (619) 619-3630

Frequently Asked Questions

What is Samantha Anthony's NPI number?

The NPI number assigned to this healthcare provider is 1639702210, enumerated as an "individual" on February 21, 2020.

Where is the provider located?

The provider is located at 3148 MIDWAY DR # 113 SAN DIEGO, CA 92110 and the phone number is (619) 363-0853.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.