MR. CARLOS CHESTER SAMPSON JR. (NPI# 1134592348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134592348 |
| Entity Type | Individual |
| Full Name | MR. CARLOS CHESTER SAMPSON JR. |
| Credential | LPC #2015009844 |
| Practice Address |
1016 W Columbia St Farmington MO 63640-2902 |
| Mailing Address |
11447 Hwy 32 Sainte Genevieve MO 63670-8336 |
| Practice Telephone | 5732186070 |
| Mailing Telephone | 5732186070 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2015009844 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1016 W COLUMBIA ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508098211 | Linda Lee Sutton Meade | Psychologist | 1016 W Columbia St, Sex Offender Rehabilitation and Treatment Services, Farmington, MO 63640-2902 | 2009-08-13 |
| 1679028955 | Kelly Duron | Psychologist | 1016 W Columbia St, Farmington, MO 63640-2902 | 2016-08-17 |
| 1396046280 | Xiao-shu Yang | Community/Behavioral Health | 1016 W Columbia St, Farmington, MO 63640-2902 | 2010-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520428 | Deborah Jean Robinson | Counselor | 3300 N Butler Ave Ste 220, Farmington, NM 87401-2342 | 2020-08-25 |
| 1023620762 | Andrew James Maihos | Counselor | 7 Maple St, Farmington, NH 03835-3714 | 2020-08-22 |
| 1730798448 | Rylee Morris | Counselor | 37 Road 1639, Farmington, NM 87401-9614 | 2020-07-28 |
| 1467070128 | Sonsee'rae Dolores Sells | Counselor | 3209 Crestridge Dr, Farmington, NM 87401-9332 | 2020-07-09 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1427609627 | Kristi Lynn Kinsella | Counselor | 95 Bowerman Rd, Farmington, NY 14425-7021 | 2019-09-27 |
| 1154987527 | Loren Goldstein | Counselor | 5940 Kennebec Ct, Farmington, NY 14425-8801 | 2019-05-11 |
| 1710465794 | Denise Jennifer Huegler | Counselor | 11 Road 5387, Farmington, NM 87401-1505 | 2018-08-01 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1508309303 | Barbara Lindell | Counselor | 1542 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2016-11-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.