Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jon Michael Thomas Sampson

Peer Specialist β€’ Pasadena, CA

Active NPI 1063951192 Individual Practitioner Male Practitioner
Practice location in NPPES

2500 E Foothill Blvd
Pasadena, CA 911073464

Call 6262545000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2500 E Foothill Blvd

Pasadena, CA 911073464

Telephone 6262545000
Organization at the Same NPPES Address or Phone
Vital Home Health Care, Inc Facility NPI 1528050846

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pasadena and California

21 active clinicians are listed under Peer Specialist with a practice address in Pasadena, CA (4,535 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pasadena

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-05
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES CA MPSS-NEWOFU

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Angineh Pitross

Marriage & Family Therapist

NPI 1417232331

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Business Mailing Address August 05, 2025

Registered at 1801 E KATELLA AVE APT 3043, ANAHEIM, CA 928056656 (Tel: 6268027755)

πŸ‘€
Provider Name / Credentials Updated August 05, 2025

Recorded as JON MICHAEL SAMPSON

πŸ“
Updated Business Mailing Address December 18, 2023

Registered at 401 W ORANGEWOOD AVE APT R205, ANAHEIM, CA 928024758 (Tel: 6268027755)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2023

Counselor

πŸ“
Updated Business Mailing Address July 15, 2021

Registered at 1921 S UNION ST UNIT 1050, ANAHEIM, CA 928056719 (Tel: 6268027755)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2021

Counselor

πŸ“
Updated Practice Location June 14, 2021

Registered at 2500 E FOOTHILL BLVD, PASADENA, CA 911073464 (Tel: 6262545000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Counselor

βœ…
NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 22, 2017

Registered at 10981 SAN DIEGO MISSION RD, SUITE 110, SAN DIEGO, CA 921082448 (Tel: 6195219569)

πŸ“
Business Mailing Address (Initial Record) February 22, 2017

Registered at 741 CARLOW CT, EL CAJON, CA 920202011 (Tel: 6195219569)

πŸ‘€
Provider Name / Credentials (Initial Record) February 22, 2017

Recorded as JONMICHAEL SAMPSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Counselor

🟒
Initial NPI Registration & Enumeration February 22, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1063951192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2017
Last Update: August 05, 2025
Sole Proprietor: No

Mailing Address

1801 E Katella Ave Apt 3043

Anaheim, CA 928056656

Phone: 6268027755

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.