Active NPI
Samantha Marie Potapchuk, LMHC
- Mental Health Counselor
- Bethpage, NY
National Provider Identifier
1144969643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 016457
- Practice address
- 1211 Stewart Ave
Bethpage, NY 11714-1601 - Phone
- (516) 465-3998
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 016457 | NY | Primary |
Addresses
Primary practice location
1211 Stewart Ave
Bethpage, NY 11714-1601
Mailing address
1211 Stewart Ave
Bethpage, NY 11714-1601
Phone (516) 465-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 31, 2025 through Aug 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016457 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1144969643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 STEWART AVE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117141601",
"telephone_number": "516-465-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 STEWART AVE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117141601",
"telephone_number": "516-465-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTAPCHUK",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "016457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.