Healthcare Provider Details

I. General information

NPI: 1740846567
Provider Name (Legal Business Name): SAMANTHA PIRNAT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 HAMBURG TPKE # 108
WAYNE NJ
07470-4037
US

IV. Provider business mailing address

1360 HAMBURG TPKE # 108
WAYNE NJ
07470-4037
US

V. Phone/Fax

Practice location:
  • Phone: 201-328-6219
  • Fax:
Mailing address:
  • Phone: 201-328-6219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00640400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: