TRISTA JEAN SAMOLE M.S. NPI 1194031328

NPI Information

  • NPI: 1194031328
  • Provider Name: TRISTA JEAN SAMOLE, M.S.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 339 S MAIN ST
    SEBASTOPOL, CA
    ZIP 95472
  • Phone: (720) 987-9426

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NPI Details

Trista Jean Samole, M.S. is a professional counselor in Sebastopol, CA. Trista Jean Samole, M.S. NPI is 1194031328. 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:

339 S MAIN ST
SEBASTOPOL, CA
ZIP 95472-208
Phone: (720) 987-9426

The enumeration date for this NPI number is 8/25/2010 and was last updated on 9/12/2025.

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
1101Y00000XCounselorNo
2101YP2500XCounselorProfessional19693CALIFORNIAYes
3101Y00000XCounselorCALIFORNIANo

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: 11/21/2025

NPI Synchronization or Removal

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