Individual provider Active NPI

Samantha Jean Baerhardt, MS, LPC

  • Professional Counselor
  • Berryville, VA
National Provider Identifier
1205415684
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2806 Issued in MN
Practice address
100 Chalmers CT
Berryville, VA 22611-1347
Phone
(540) 692-9428
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2806 MN Primary

Addresses

Primary practice location

100 Chalmers CT
Berryville, VA 22611-1347

Mailing address

100 Chalmers CT
Berryville, VA 22611-1347
Phone (540) 692-9428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240924002119 VA Practitioner - Mental Health Counselor 6103367651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Shavit CurrentSince Aug 9, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Aug 1, 2025 Accepting new patients
Mankato Marriage and Family Therapy Center PLC PastSince Apr 1, 2021 Accepting new patients

Locations

100 Chalmers Ct
Berryville, VA 22611
Phone (540) 692-9428

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1205415684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHALMERS CT",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111347",
            "telephone_number": "540-692-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHALMERS CT",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111347",
            "telephone_number": "540-692-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERHARDT",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

Verify at the official NPI Registry.