Samonia Etheridge, LPC
NPI 1619014891 · Professional Counselor · Vicksburg, MS
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samonia Etheridge, LPC is a Professional Counselor provider in Vicksburg, MS (NPI 1619014891).
Provider details
- NPI number
- 1619014891
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 1046 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Samonia Etheridge's NPI number?
- Samonia Etheridge's National Provider Identifier (NPI) is 1619014891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samonia Etheridge's specialty?
- Samonia Etheridge is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Samonia Etheridge located?
- Samonia Etheridge's practice location on file with NPPES is 1414 Cherry St, Vicksburg, MS 39180-3218.
- What is Samonia Etheridge's phone number?
- The practice phone number listed in the NPPES registry for Samonia Etheridge is (601) 636-5703.
- Does Samonia Etheridge accept Medicare?
- Samonia Etheridge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samonia Etheridge's NPI active?
- Yes — Samonia Etheridge's NPI (1619014891) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.