Active NPIIndividual provider

Samantha Mackintosh, LAC

Counselor, Mental Health in Orange, New Jersey

NPI Number1669939757
Practice location
395 S Center St, Orange, NJ 07050-3205
Fax
—
Last updated
February 25, 2019

Samantha Mackintosh is a Counselor, Mental Health based in Orange, NJ. Samantha Mackintosh practices in Orange, NJ and has the professional credentials of LAC. The NPI Number for Samantha Mackintosh is 1669939757 and holds a License No. 37AC00416600 (NJ). The current practice location address for Samantha Mackintosh is 395 S Center St, Orange, NJ 07050-3205 and can be reached out via phone at 973-675-3817.

Provider Profile Details

NPI Number
1669939757
Provider Name
Samantha Mackintosh
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
395 S Center St, Orange, NJ 07050-3205
Phone Number
973-675-3817
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
February 25, 2019
Last Update Date
February 25, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
395 S Center St
Orange, NJ 07050-3205
City
Orange
Zip
07050-3205
Phone Number
973-675-3817
Orange, NJ 07050Get directions →

Provider Business Mailing Address Details

Address
395 S Center St
Orange, NJ 07050-3205
City
Orange
State
NJ
Zip
07050-3205
Phone Number
973-675-3817

License Information

License Number
37AC00416600
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mackintosh, LAC?

The NPI number of Samantha Mackintosh, LAC is 1669939757. It was assigned on February 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Samantha Mackintosh, LAC?

Samantha Mackintosh, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00416600.

Where does Samantha Mackintosh, LAC practice?

The practice location is 395 S Center St, Orange, NJ 07050-3205. The office can be reached at 973-675-3817 (phone).

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 1669939757 directly on the NPPES registry website.

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