Samantha Desisto, LMHC
Counselor, Mental Health in Beverly, Massachusetts
1356721039- Practice location
- 800 Cummings Center, Suite 266T, Beverly, MA 01915
- Phone
- 978-998-3680
- Fax
- 978-922-0098
- Last updated
- March 2, 2022
Samantha Desisto is a Counselor, Mental Health based in Beverly, MA. Samantha Desisto practices in Beverly, MA and has the professional credentials of LMHC. The NPI Number for Samantha Desisto is 1356721039 and holds a License No. 10764 (MA). The current practice location address for Samantha Desisto is 800 Cummings Center, Suite 266T, Beverly, MA 01915 and can be reached out via phone at 978-998-3680 and via fax at 978-922-0098.
Provider Profile Details
- NPI Number
- 1356721039
- Provider Name
- Samantha Desisto
- Credential
- LMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 800 Cummings Center, Suite 266T, Beverly, MA 01915
- Phone Number
- 978-998-3680
- Fax Number
- 978-922-0098
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Other Names
- Samantha Tilton, LMHC (Former Name)
- Provider Enumeration Date
- June 8, 2015
- Last Update Date
- March 2, 2022
- Certification Date
- March 2, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Cummings Center
Suite 266T
Beverly, MA 01915 - City
- Beverly
- State
- Massachusetts
- Zip
- 01915
- Phone Number
- 978-998-3680
- Fax Number
- 978-922-0098
Provider Business Mailing Address Details
- Address
- 800 Cummings Center
Suite 266T
Beverly, MA 01915 - City
- Beverly
- State
- MA
- Zip
- 01915
- Phone Number
- 978-998-3680
- Fax Number
- 978-922-0098
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 10764
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samantha Desisto, LMHC?
The NPI number of Samantha Desisto, LMHC is 1356721039. It was assigned on June 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Samantha Desisto, LMHC?
Samantha Desisto, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 10764.
Where does Samantha Desisto, LMHC practice?
The practice location is 800 Cummings Center, Suite 266T, Beverly, MA 01915. The office can be reached at 978-998-3680 (phone) or 978-922-0098 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356721039 directly on the NPPES registry website.