Provider Demographics
NPI:1396620142
Name:ASHTON, SAMANTHA (LAC, NCC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:ASHTON
Suffix:
Gender:F
Credentials:LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-1024
Mailing Address - Country:US
Mailing Address - Phone:732-877-7088
Mailing Address - Fax:
Practice Address - Street 1:25 COMMERCE DR STE 210
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3621
Practice Address - Country:US
Practice Address - Phone:908-905-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00883800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health