Individual provider Active NPI

Samantha J Andrews, PLMHP

  • Mental Health Counselor
  • McCook, NE
National Provider Identifier
1205427176
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12462 Issued in NE
Practice address
601 Norris Ave
MC Cook, NE 69001-3140
Phone
(308) 345-4067
NPI assigned
Feb 2, 2021
Last updated
Apr 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12462 NE Primary

Addresses

Primary practice location

601 Norris Ave
MC Cook, NE 69001-3140

Mailing address

601 Norris Ave
MC Cook, NE 69001-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240112001962 NE Practitioner - Mental Health Counselor 5496106528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambience Counseling Center LLCGroup PAC ID 1759796840, 7 clinicians

Practice addresses (Care Compare)

601 Norris Ave
MC Cook, NE 69001-3140
Phone (308) 345-4067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12462NEMDPharmacist
2879NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ambience Counseling Center, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

601 Norris Ave
McCook, NE 69001
Phone (308) 345-4067

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1205427176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NORRIS AVE",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NORRIS AVE",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690013140",
            "telephone_number": "308-345-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

Verify at the official NPI Registry.