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SAMANTHA WILLETT-JACKSON LCPAT ATR NPI 1578220547


NPI Information

NPI: 1578220547
Provider Name: SAMANTHA WILLETT-JACKSON, LCPAT, ATR
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1220 E JOPPA RD STE 400
TOWSON, MD
ZIP 21286
Phone: (410) 449-4955
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Samantha Willett-jackson, LCPAT, ATR is a counselor in Towson, MD. The provider is 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. Samantha Willett-jackson, LCPAT, ATR NPI is 1578220547. 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:

1220 E JOPPA RD STE 400
TOWSON, MD
ZIP 21286-811
Phone: (410) 449-4955

The enumeration date for this NPI number is 11/24/2021 and was last updated on 12/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1221700000XArt TherapistATC353MARYLANDNo
2221700000XArt Therapist23-568No
3101Y00000XCounselorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.