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Samantha Mackintosh, LAC

Counselor, Mental Health in Orange, NJ. Individual provider (NPI-1).

NPI number1669939757
StatusActive
Last updated in NPPESFeb 25, 2019

Details

NPI
1669939757
Entity type
Individual (NPI-1)
Name
Samantha Mackintosh
Credential
LAC
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2019
Last updated
Feb 25, 2019

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 codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health37AC00416600NJYes

Practice location

395 S Center St
Orange, NJ 07050-3205

Phone 973-675-3817

Mailing address

395 S Center St
Orange, NJ 07050-3205

Phone 973-675-3817

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.

Other Mental Health Counselor providers in Orange, NJ

All 11 Mental Health Counselor providers in Orange · All 394 providers in Orange

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