SAMANTHA S SELF
NPI 1982423208
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Active since October 03, 2024
1420 ROOSEVELT AVE STE 2, MOUNT VERNON, WA 98273(360) 939-1450 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha S Self NPPES

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

SAMANTHA S SELF (NPI 1982423208) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1982423208
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA S SELF
Location Address1420 ROOSEVELT AVE STE 2Mount Vernon, WA 98273-2687
Mailing Address1420 Roosevelt Ave Ste 2Mount Vernon, WA 98273-2687 · (360) 939-1450 · Fax (360) 282-1203
Sole ProprietorNo
Enumeration DateOctober 3, 2024
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1982423208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1420 ROOSEVELT AVE STE 2, Mount Vernon, WA 98273

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273
Counselor (Mental Health)
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273
Social Worker (Clinical)
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273
Counselor (Mental Health)
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273
Counselor (Mental Health)
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273
Counselor
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273
Counselor (Mental Health)
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273
Clinic/Center (Mental Health (Including Community Mental Health Center))
1420 ROOSEVELT AVE STE 2
MOUNT VERNON, WA 98273

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 Self's NPI number?

The NPI number for Samantha Self is 1982423208. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Samantha Self located?

Samantha Self practices at 1420 Roosevelt Ave Ste 2, Mount Vernon, WA 98273. The listed phone number is (360) 939-1450.

What is Samantha Self's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samantha Self was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.