Samantha R Willey, MS, LMHP, NCC
Counselor, Professional in Omaha, NE. Individual provider (NPI-1).
NPI number1457760985
StatusActive
Last updated in NPPESApr 5, 2017
Details
- NPI
- 1457760985
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Samantha R Willey
- Credential
- MS, LMHP, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2014
- Last updated
- Apr 5, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2161 | NE | Yes |
| 101YM0800X | Counselor, Mental Health | 4442 | NE |
Practice location
820 S 75th StOmaha, NE 68114-4623
Phone 402-391-2477
Mailing address
5100 S 79th AveRalston, NE 68127-2709
Phone 402-578-8089
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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