Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexa Amelia Samuelson

Individual provider Marriage & Family Therapist · NPI 1336831817

Alexa Amelia Samuelson is a Marriage & Family Therapist in Lake Grove, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

2233 Nesconset Hwy Ste 201
Lake Grove, NY 11755-1000
Phone: (631) 786-8930
Fax: (631) 256-5229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (NY)

Record details

NPI number1336831817
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESMay 23, 2023
Certification dateMay 22, 2023