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Samantha Willi

Counselor β€’ Avon, OH

Active NPI 1508272543 Individual Practitioner Female Practitioner
Practice location in NPPES

37040 Colorado Ave
Avon, OH 44011

Call 4405086928 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

37040 Colorado Ave

Avon, OH 44011

Telephone 4405086928
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Amherst, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

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 Avon and Ohio

13 active clinicians are listed under Counselor with a practice address in Avon, OH (4,098 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Avon

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 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

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES OH C.1400244

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.

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: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

315 N Leavitt Rd

Amherst, OH 440011126

Phone: 4409843882

315 N Leavitt Rd

Amherst, OH 440011126

Phone: 4409843882

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location October 27, 2018

Registered at 37040 COLORADO AVE, AVON, OH 44011 (Tel: 4405086928)

πŸ“
Updated Business Mailing Address October 27, 2018

Registered at 37040 COLORADO AVE, AVON, OH 440111524 (Tel: 4405086928)

βœ…
NPI Profile Active July 10, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 10, 2014

Registered at 315 N LEAVITT RD, AMHERST, OH 440011126 (Tel: 4409843882)

πŸ“
Business Mailing Address (Initial Record) July 10, 2014

Registered at 1925 HAYES AVE, SANDUSKY, OH 448704737 (Tel: 4195575177)

πŸ‘€
Provider Name / Credentials (Initial Record) July 10, 2014

Recorded as SAMANTHA WILLI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Counselor (license number reported to NPPES: OH C.1400244)

🟒
Initial NPI Registration & Enumeration July 10, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508272543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2014
Last Update: October 27, 2018
Sole Proprietor: No

Mailing Address

37040 Colorado Ave

Avon, OH 440111524

Phone: 4405086928

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.