MS. SAMANTHA ANNE MIEMCZEWSKI LCPC NPI 1033456348

NPI Information

NPI: 1033456348
Provider Name: MS. SAMANTHA ANNE MIEMCZEWSKI, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
3805 E MAIN ST STE M
ST CHARLES, IL
ZIP 60174
Phone: (630) 305-5118
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MS. Samantha Anne Miemczewski, LCPC is a professional counselor in St Charles, IL. MS. Samantha Anne Miemczewski, LCPC NPI is 1033456348. 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:

3805 E MAIN ST STE M
ST CHARLES, IL
ZIP 60174-487
Phone: (630) 305-5118

The NPI 1033456348 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 1/7/2013 and was last updated on 2/27/2024.

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	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional	180012163	ILLINOIS	Yes

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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