SAMANTHA MOODY (NPI# 1558989327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558989327 |
| Entity Type | Individual |
| Full Name | SAMANTHA MOODY |
| Credential | MS, ASSOCIATE MFT |
| Practice Address |
5701 Lonetree Blvd Ste 210 Rocklin CA 95765-3794 |
| Practice Telephone | 8334327968 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
108783 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1609879592 | Samantha S Moody | Nurse Practitioner | 2215 Jackson Downs Blvd, Nashville, TN 37214-2300 | 2005-05-24 |
| 1093316663 | Samantha Jo Moody | Nurse Practitioner | 658 E Main St, Centreville, MI 49032-9627 | 2020-11-02 |
| 1851915094 | Samantha Marie Moody | Case Manager/Care Coordinator | 3012 Glenmore Ave Ste 14, Cincinnati, OH 45238-2258 | 2020-06-03 |
| Street Address |
5701 LONETREE BLVD STE 210 |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95765-3794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013435775 | Gabriel Martin Leporati | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2017-09-01 |
| 1982220927 | Kelsey Takemoto | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2020-06-24 |
| 1427674464 | Shavontae Golden-mccants | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2020-06-24 |
| 1861017246 | Wellness Together, Inc. | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2020-06-11 |
| 1164043766 | Hearyou.org | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2020-05-05 |
| 1730655184 | Jeremiah Aja | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
| 1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
| 1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
| 1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
| 1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
| 1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
| 1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
| Find all providers in zip 95765 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588201362 | Ashley Laree Knapp | Counselor | 1908 Hillock Ct, Rocklin, CA 95765-5401 | 2019-11-29 |
| 1013435775 | Gabriel Martin Leporati | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2017-09-01 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1649404666 | Bradley Steven Montgomery | Counselor | 6520 Lonetree Blvd Ste 138, Rocklin, CA 95765-5874 | 2009-05-05 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1144352436 | Lynda M Miller | Counselor | 2406 Zephyr Cv, Rocklin, CA 95677-4786 | 2007-03-12 |
| 1023140738 | Victoria Louise Hanlon | Counselor | 6501 Winter Rush Dr, Rocklin, CA 95677-4519 | 2007-03-09 |
| 1629089586 | Andrew Breedlove | Counselor | 3175 Sunset Blvd, Suite 104a, Rocklin, CA 95677-3091 | 2006-08-10 |
| 1861017246 | Wellness Together, Inc. | Counselor | 5701 Lonetree Blvd Ste 210, Rocklin, CA 95765-3794 | 2020-06-11 |
| 1306478789 | Stephanie Kay Frazier | Counselor | 1000 Sunset Blvd Ste 140, Rocklin, CA 95765-5482 | 2020-02-04 |
| Find all providers in ROCKLIN | ||||
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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.