SAMANTHA WATHEN NPI 1629426754

NPI Information

  • NPI: 1629426754
  • Provider Name: SAMANTHA WATHEN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8512 SIX FORKS RD STE 101
    RALEIGH, NC
    ZIP 27615
  • Phone: (919) 277-0253

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NPI Details

Samantha Wathen is a mental health counselor in Raleigh, NC with 9 years of experience. 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
1101Y00000XCounselorNo
2101YM0800XCounselorMental Health13506NORTH CAROLINAYes
3101YM0800XCounselorMental HealthA13506NORTH CAROLINANo

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

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