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

Mrs. Mavis N Tah Sama, HHA, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073855490

Mrs. Mavis N Tah Sama, HHA, PMHNP-BC is a Nurse Practitioner in Mechanicsville, Virginia. Qualified in 2024, 2 years ago. Practices with Commonwealth Counseling Associates Inc, a 200-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2013
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

9202 Center Oak Ct
Mechanicsville, VA 23116-2744
Phone: (804) 207-6737
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024191310 (VA)

Record details

NPI number1073855490
Entity typeIndividual (Type 1)
GenderFemale
Credentials HHA , PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 24, 2013
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Commonwealth Counseling Associates Inc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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