MEDICARE: SAMANTHA LANGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1932087046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA LANGE

Provider Business Mailing Address
First Line	:	92 WILLOW ST
Second Line	:
City	:	WHEATLEY HEIGHTS
State	:	NY
Zip	:	11798-1219
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	92 WILLOW ST
Second Line	:
City	:	WHEATLEY HEIGHTS
State	:	NY
Zip	:	11798-1219
Country	:	US
Telephone Number	:	631-560-7509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	12/02/2025

Similar Medicare Providers

1992708325 — IJAK-UYIRE INC
Practice Location Address:

77 02 21ST AVE
JACKSON HEIGHTS, NY
11370-1219

Practice Phone: 718-728-6878
Practice Fax: 718-728-6843

1386810885 — HEALTHWISE MEDICAL ASSOCIATES PC
Practice Location Address:

3324 77TH ST , SUITE 2C
JACKSON HEIGHTS, NY
11372-1219

Practice Phone: 718-651-0601
Practice Fax: 718-651-0611

1104196518 — KARI ENDICK
Practice Location Address:

159 BRIARWOOD DR E
BERKELEY HEIGHTS, NJ
07922-1219

Practice Phone: 631-796-2948
Practice Fax:

1255176426 — DEBE ENTERPRISES INC
Practice Location Address:

1219 EDENVILLE DRIVE
DISTRICT HEIGHTS, MD
20747

Practice Phone: 301-336-1493
Practice Fax:

1912738253 — DEBE ENTERPRISES INC
Practice Location Address:

1219 EDENVILLE DR
DISTRICT HEIGHTS, MD
20747-1704

Practice Phone: 301-922-7208
Practice Fax:

1467460527 — KIMBERLY ANN PROBECK LCSW
Practice Location Address:

18 NORWOOD PL
WHEATLEY HEIGHTS, NY
11798-1029

Practice Phone: 631-491-0741
Practice Fax:

Directions to “ SAMANTHA LANGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.