SAMANTHA CARTER (NPI# 1598385858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598385858 |
| Entity Type | Individual |
| Full Name | SAMANTHA CARTER |
| Credential | MHP |
| Practice Address |
750 Broadway Ave E Mattoon IL 61938-4610 |
| Practice Telephone | 2172385700 |
| Mailing Telephone | 2172385700 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564335 | Samantha Carter | Counselor | 5532 Wegg Ave, East Chicago, IN 46312-3941 | 2020-10-05 |
| 1427504109 | Samantha Carter | Specialist | 1941 W Us Highway 50, Fairview Heights, IL 62208-2927 | 2016-08-31 |
| 1295195287 | Samantha Carter | Social Worker | 97 Marion St, Apt 5, Brookline, MA 02446-4745 | 2016-03-03 |
| 1013310143 | Samantha Poole Carter | Nurse Practitioner | 4300 W Main St Ste 15, Dothan, AL 36305-1058 | 2014-10-03 |
| 1497005052 | Samantha Carter | Speech-Language Pathologist | 101 Bulldog Dr., Plumerville, AR 72127 | 2012-09-11 |
| 1750402566 | Samantha Carter | Physical Therapist | 130 Bill George Dr, Waynesburg, PA 15370-8122 | 2007-04-02 |
| 1891328324 | Samantha Carter | Behavior Technician | 6859 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2020-02-12 |
| 1346896735 | Samantha Carter | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2019-08-13 |
| 1427551886 | Samantha Carter | Occupational Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-13 |
| 1093213811 | Samantha Carter | Student in an Organized Health Care Education/Training Program | 1510 State Road 436, Winter Park, FL 32792-1502 | 2018-01-26 |
| Street Address |
750 BROADWAY AVE E |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203914 | Coles County Mental Health Association, Inc. | Community/Behavioral Health | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2005-05-24 |
| 1962003384 | Darren Victor Mathias | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-11-03 |
| 1811595341 | Alexander Rojas | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1669070181 | Selina Nicole Satterfield | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1376159970 | Tammy Dahlke | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1326654914 | Morgan Hummel | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1194330217 | Chelsea Brettin | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-15 |
| 1760091458 | Jessica Frields | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-28 |
| 1619586906 | Lisa Ann Harrison | Registered Nurse | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-23 |
| 1588272637 | Jessica Blazich | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649506858 | Tamara Sue Hayden | Counselor | 1400 Broadway Ave, Mattoon, IL 61938-4075 | 2009-10-22 |
| 1962003384 | Darren Victor Mathias | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-11-03 |
| 1811595341 | Alexander Rojas | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1669070181 | Selina Nicole Satterfield | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-10-16 |
| 1376159970 | Tammy Dahlke | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1326654914 | Morgan Hummel | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-18 |
| 1194330217 | Chelsea Brettin | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-09-15 |
| 1588272637 | Jessica Blazich | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-15 |
| 1871101915 | Lyndsy Christman | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-15 |
| 1457979676 | Kristen M Pierce | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2020-07-14 |
| Find all providers in MATTOON | ||||
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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.