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

Dr. Samantha Jo Simon, PHD, LCMHC, NCC

Individual provider Mental Health Counselor · NPI 1588285167

Dr. Samantha Jo Simon, PHD, LCMHC, NCC is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2017, 9 years ago. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

2709 Blue Ridge Rd Ste 190
Raleigh, NC 27607-6462
Phone: (984) 355-0422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13168 (NC)

Record details

NPI number1588285167
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCMHC , NCC
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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