SAMANTHA FAITH MARLAR-ENBOM (NPI# 1245696210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245696210 |
| Entity Type | Individual |
| Full Name | SAMANTHA FAITH MARLAR-ENBOM |
| Credential | MA, LPC, LMHC |
| Practice Address |
3449 E Rezanof Dr Kodiak AK 99615-6952 |
| Mailing Address |
1321 Queen Anne Ave N # 102 Seattle WA 98109-5719 |
| Practice Telephone | 9074867314 |
| Mailing Telephone | 2065886848 |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60540859 | WA | Behavioral Health & Social Service Providers |
| Street Address |
3449 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-6952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437104940 | Heidi Coryell Lowrey Baines | Family Medicine | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2006-05-23 |
| 1740881069 | Hannah Gordon | Social Worker | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-11-03 |
| 1174124473 | Sarah Marie Davidson | Social Worker | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-11-03 |
| 1366041915 | Janna Lacroix | Case Manager/Care Coordinator | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-10-23 |
| 1679100515 | Melissa Marie Anderson | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2020-03-23 |
| 1073158093 | Michael Hanrahan | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1144865130 | Hope Lee Livingston Rustemeyer | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-11-13 |
| 1326680760 | Susana Dorian Bennett-melendez | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-10-16 |
| 1134761364 | Paige Buer | Physician Assistant | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-10-09 |
| 1073175212 | Jordan Beard | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679123129 | Montu Devendra Jani | Counselor | 1911 E Rezanof Dr # A, Kodiak, AK 99615-6602 | 2019-09-17 |
| 1912219346 | Deborah Ruth Davis | Counselor | 104 Center Ave Ste 204, Kodiak, AK 99615-6393 | 2010-07-14 |
| 1083765317 | Ken E Mccarty | Counselor | 1423 Simeonof St, Kodiak, AK 99615-6452 | 2007-01-15 |
| 1265915193 | Christine L Foster | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-09-06 |
| 1104310200 | Stephanie M Mccarter | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2018-06-21 |
| 1730513995 | Patricia Louise Moore | Counselor | 717 Rezanof Dr E, Kodiak, AK 99615-6416 | 2013-08-23 |
| 1851731798 | Uriel Flores | Counselor | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2013-06-25 |
| 1598079345 | Rita M Mahon | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2010-08-04 |
| 1821115684 | Susan Stewart Philo | Counselor | 717 E Rezanof Dr, Kodiak, AK 99615-6416 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710157 | Ida Brothers | Counselor | 2705 W 67th Ave, Anchorage, AK 99502-2222 | 2020-11-04 |
| 1801497912 | Christian E Odom | Counselor | 550 S Alaska St Ste 202, Palmer, AK 99645-6372 | 2020-11-04 |
| 1215538681 | Kory Labbe | Counselor | 124 Tok Cut Off, Tok, AK 99780 | 2020-11-03 |
| 1831799287 | Martina A Diamond | Counselor | 3616 Peterkin Ave, Anchorage, AK 99508-1131 | 2020-10-27 |
| 1598362972 | Annette F Wilson | Counselor | 5674 Alora Loop, Anchorage, AK 99504-1050 | 2020-10-08 |
| 1386241917 | Jerome Donald Velcheff | Counselor | 719 Edward St # B, Anchorage, AK 99504-1664 | 2020-10-06 |
| 1386241313 | Lori Ann Velcheff | Counselor | 6800 Howard Ave, Anchorage, AK 99504-1870 | 2020-10-02 |
| 1063019107 | Katherine Patricia Jerue | Counselor | 632 W 15th Ave, Anchorage, AK 99501-5006 | 2020-10-01 |
| 1518564772 | Michelle Deboarh Burlin | Counselor | 3005 Clinton Dr Unit A4, Juneau, AK 99801-7167 | 2020-10-01 |
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
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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.