SAMANTHA TRIPP (NPI# 1952810962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952810962 |
| Entity Type | Individual |
| Full Name | SAMANTHA TRIPP |
| Practice Address |
1115 W Chestnut St Ste 101 Brockton MA 02301-7501 |
| Mailing Address |
4 Walnut St Assonet MA 02702-1402 |
| Practice Telephone | 5085212287 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1115 W CHESTNUT ST STE 101 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467726398 | Carin Rhodes | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2012-02-23 |
| 1184137853 | Megan Elizabeth Perry | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-11-15 |
| 1609389196 | Sandra Ann Kujawski | Community/Behavioral Health | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-11-07 |
| 1710498373 | Lyndsay Jordan Whitaker | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-10-22 |
| 1215446398 | Josue Alexandre | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-09-21 |
| 1609392851 | Paige Cameron | Student in an Organized Health Care Education/Training Program | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-08-18 |
| 1528584828 | Paul Anthony Maggio | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-08-17 |
| 1386167930 | Michelle Carla Lopes | Case Manager/Care Coordinator | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-07-25 |
| 1558884189 | Virginia Janai Draughn | Community/Behavioral Health | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-07-25 |
| 1306367453 | Sarha Machado Toso | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1437762085 | Laura Elizabeth Regal | Counselor | 231 Main St # 3, Brockton, MA 02301-4342 | 2020-08-24 |
| 1104313949 | Michelle K. Hennessy | Counselor | 103 Commercial St Ste 2, Brockton, MA 02302-3133 | 2018-04-17 |
| 1447767215 | Kafayat Bello | Counselor | 5 Raintree Cir Apt F, Brockton, MA 02302-1912 | 2018-01-03 |
| 1518495928 | Shacorra Williams | Counselor | 12 Montgomery St, Brockton, MA 02301-3714 | 2017-05-30 |
| 1710426911 | Michael Campbell | Counselor | 347 Quincy St, Brockton, MA 02302-3419 | 2017-02-21 |
| 1386181857 | Wecjard Emmanuel | Counselor | 331 N Quincy St, Brockton, MA 02302-1940 | 2017-01-23 |
| 1427502814 | Lauren Mackenzie Suarez | Counselor | 63 Whitmore St, Brockton, MA 02301-5660 | 2016-08-15 |
| 1972957439 | Kassandra Morales | Counselor | 4 Sophia Ave, Brockton, MA 02301-2135 | 2016-04-20 |
| 1447658208 | Altine Simon | Counselor | 74 Pine Grove Dr, Brockton, MA 02301-1115 | 2014-12-10 |
| Find all providers in BROCKTON | ||||
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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.