Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730440181 Individual Practitioner Female Practitioner

Samantha J. Boatwright , LPCC-S

Counselor - Professional • Canton, OH

Professional Overview & Biography Verified Profile Summary

Samantha Boatwright, LPCC-S is a registered healthcare professional specializing in Counselor - Professional in Canton, OH. Practice services are available at 625 CLEVELAND AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 Cleveland Ave Nw

Canton, OH 447021805

Telephone 3304550374
Fax 3304552101
Associated Practice Facility / Clinic
🏢 Commquest Services, Inc. Facility NPI 1730168311

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
316 Specialists

Practicing in Canton, OH (6923 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-22
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E1100160SUPV

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0188702 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Morgan Truax

Community Health Worker

NPI 1003407149
Annie Shelton , RN

Registered Nurse

NPI 1003414624

Registered Nurse

Douglas Stevens , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013474824

Certified Nurse Practitioner

Tatyanna Myrie , LPCC

Counselor - Professional

NPI 1023724184

Licensed Professional Clinical Counselor

Ronnie Turpin , CDCA-PRE

Counselor - Addiction (Substance Use Disorder)

NPI 1033766845

CDCAPRE

Crista Riffle , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1033773940

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 22, 2021

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

👤
Provider Name / Credentials Updated September 26, 2019

Recorded as SAMANTHA BOATWRIGHT, LPCC-S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2019

Counselor (License #E1100160SUPV in OH)

📍
Updated Practice Location August 23, 2019

Registered at 1711 SPRING AVE NE, CANTON, OH 447142349 (Tel: 3304546800)

📍
Updated Business Mailing Address August 23, 2019

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2019

Counselor (License #E1100160 in OH)

NPI Profile Active June 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2012

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

📍
Updated Business Mailing Address June 01, 2012

Registered at 1341 MARKET AVE N, CANTON, OH 447142605 (Tel: 3304538252)

👤
Provider Name / Credentials Updated June 01, 2012

Recorded as SAMANTHA BOATWRIGHT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2012

Counselor

🟢
Initial NPI Registration & Enumeration June 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730440181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2012
Last Update: December 22, 2021
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.