Samantha Leslie Matesic, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701016054 Issued in VA

Practice address

3555 Sherbrooke Cir
Woodbridge, VA 22192-7033

Phone

(561) 921-7803

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment
• Helping Moon Counseling, P.a

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1083087688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1093368359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 SHERBROOKE CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927033",
            "telephone_number": "561-921-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SHERBROOKE CIR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927033",
            "telephone_number": "561-921-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATESIC",
        "first_name": "SAMANTHA",
        "middle_name": "LESLIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16522",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701016054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055493-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nader Marzban, MD
• Christine Mason, DNP
• Masoom M Kandahari MD PC (Cancer and Blood Specialists of Northern VA PC)
• Debra Jean Massaro, NP-C
• Nicholas James Masterson
• Russell Hale Mattern, OD
• Sarah Elizabeth Matthews, OT
• Kimberly Mattison
• Mauricio D. Bas, Jr., M.D., P.C.
• Alexxandra Mauro

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.