SAMANTHA BIRTWELL (NPI# 1598176018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598176018 |
| Entity Type | Individual |
| Full Name | SAMANTHA BIRTWELL |
| Credential | MA,BA,LMFT |
| Practice Address |
731 Main St Ste 122 Monroe CT 06468-2872 |
| Mailing Address |
13 Roosevelt Dr Newtown CT 06470-2035 |
| Practice Telephone | 2032617090 |
| Practice Fax Number | 2037025283 |
| Mailing Telephone | 2033006414 |
| Mailing Fax Number | 2037025283 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1736 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CAQH | 13584798 | 01 |
| CT | MHN TRICARE NORTH | PENDING | 01 |
| CT | 008062567 | 05 | |
| CT | UBH-UNITED BEHAVIORAL HEALTH WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | UBH-CONNECTICARE WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | MHN-MANAGED HEALTH NETWORK | PENDING | 01 |
| CT | UBH-OXFORD HEALTH/FREEDOM/LIBERTY WELLMORE GRP/FACILITY | 060669017 | 01 |
| CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY | 060669107 | 01 |
| CT | VALUE OPTIONS | D339123 141 E MAIN | 01 |
| CT | CIGNA BEHAVIORAL HEALTH | PENDING | 01 |
| CT | AETNA BEHAVIORAL HEALTH | PENDING | 01 |
| CT | AAMFT | ACTIVE MEMBER | 01 |
| Street Address |
731 MAIN ST STE 122 |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083755300 | Maureen Diane Cook | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2007-02-09 |
| 1659992378 | Jacqueline Roe | Marriage & Family Therapist | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2020-05-05 |
| 1649811266 | Dana Lyn Saad | Social Worker | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2019-10-04 |
| 1851855910 | Emi Lee | Psychologist | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2019-01-23 |
| 1588139497 | Melissa Edwards | Social Worker | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2018-10-06 |
| 1184102469 | Amy Beth Vales | Marriage & Family Therapist | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2018-07-30 |
| 1437643608 | Joshua Valinsky | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2018-06-20 |
| 1740793850 | Ryan M Passarelli | Counselor | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2017-11-10 |
| 1114393493 | Key Therapy LLC | Marriage & Family Therapist | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2015-08-20 |
| 1700297579 | Melissa A Fairhurst | Counselor | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1134677719 | Jacqueline M D'louhy | Social Worker | 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 | 2016-09-13 |
| 1841638913 | Tara E Beall-gomes | Counselor | 755 Main St Unit 3, Monroe, CT 06468 | 2013-06-11 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1427383488 | Danielle Maryott | Social Worker | 755 Main Street No. 8 Suite B, Monroe, CT 06468 | 2009-10-08 |
| 1710194758 | Rory T Perimenis | Dentist | 324 Elm Street, Suite 201a, Monroe, CT 06468 | 2007-05-17 |
| 1548339542 | Donald P. Opatrny | Marriage & Family Therapist | 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 | 2006-11-06 |
| Find all providers in zip 06468 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427551209 | Elaine Almeida | Marriage & Family Therapist | 388 Main St Unit 1b, Monroe, CT 06468-1150 | 2018-03-17 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1568907699 | Yeshia Berger | Marriage & Family Therapist | 3 Teverya Way Unit 102, Monroe, NY 10950-5492 | 2016-12-28 |
| 1699167882 | Rebecca Ambrose | Marriage & Family Therapist | 324 Elm St Ste 204b, Monroe, CT 06468-2284 | 2015-02-24 |
| 1295145514 | Linda S. Luongo | Marriage & Family Therapist | 16 Village Green Ln, Monroe, CT 06468-1842 | 2014-05-08 |
| 1972922540 | Lori Diane Wolff | Marriage & Family Therapist | 909 W Main St Ste 108, Monroe, WA 98272-2031 | 2014-04-10 |
| 1487078416 | Ellen I Koski-ponton | Marriage & Family Therapist | 202 N Stewart St, Monroe, NC 28112-4767 | 2014-02-11 |
| 1992044481 | Lawanna Kaye Gunn-williams | Marriage & Family Therapist | 1006 Rogers St, Monroe, LA 71201-8245 | 2013-02-04 |
| 1134457500 | Deborah Gaynor | Marriage & Family Therapist | 43 Quarry Ridge Rd, Monroe, CT 06468-3321 | 2009-11-24 |
| 1740424985 | Bradford Powell Keeney | Marriage & Family Therapist | 1708 Riverside Dr, Monroe, LA 71201-4628 | 2009-04-30 |
| Find all providers in MONROE | ||||
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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.