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

Samantha Kate Moultry, LPCC

Individual provider Professional Counselor · NPI 1629677307

Samantha Kate Moultry, LPCC is a Professional Counselor in Dayton, Ohio. Licensed in Michigan and Ohio. Registered with an NPI since 2020.

Licensed in
MI, OH
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

261 Regency Ridge Dr
Dayton, OH 45459-4221
Phone: (607) 206-2819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.2102113 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence 6401224846 (MI)

Record details

NPI number1629677307
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

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