SAMANTHA WATHEN NPI 1629426754

NPI Information

NPI: 1629426754
Provider Name: SAMANTHA WATHEN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
8512 SIX FORKS RD STE 101
RALEIGH, NC
ZIP 27615
Phone: (919) 277-0253
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Samantha Wathen is a mental health counselor in Raleigh, NC. Samantha Wathen NPI is 1629426754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8512 SIX FORKS RD STE 101
RALEIGH, NC
ZIP 27615-256
Phone: (919) 277-0253

The NPI 1629426754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/31/2016 and was last updated on 4/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health	13506	NORTH CAROLINA	Yes
3	101YM0800X	Counselor	Mental Health	A13506	NORTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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