Active NPI
Samantha L Ferguson, LMHC
- Mental Health Counselor
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16525
- Practice address
- 1201 1St St S
Winter Haven, FL 33880-3904 - Phone
- (863) 294-7062
- NPI assigned
- Aug 27, 2013
- 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 | MH16525 | FL | Primary |
Addresses
Primary practice location
1201 1St St S
Winter Haven, FL 33880-3904
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-0002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Samantha.FergusonLMHC@direct.mybaycare.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace River Center for Personal Development Inc | Current | Accepting new patients | |
| Winter Haven Hospital Inc | Current | Accepting new patients | |
| Peace River Center for Personal Development Inc | Current | Accepting new patients | |
| Peace River Center for Personal Development Inc | Past | Accepting new patients | |
| Peace River Center for Personal Development Inc | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
1825 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300
1835 Gilmore Ave
Lakeland, FL 33805
Phone (863) 248-3300
1501 1st St S
Winter Haven, FL 33880
Phone (813) 738-6689
1201 1st St S
Winter Haven, FL 33880
Phone (863) 294-7062
Interoperability endpoints
- samantha.fergusonlmhc@direct.mybaycare.org
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bartow, FL
- NPI 1821097767
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lakeland, FL
- NPI 1538802939
-
- Psychiatry Physician
- Lakeland, FL
- NPI 1114673589
-
- Case Management Agency
- Lakeland, FL
- NPI 1265187728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1265866271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-532-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 1ST ST S",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803904",
"telephone_number": "863-294-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "SAMANTHA",
"middle_name": "L",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16525",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Samantha.FergusonLMHC@direct.mybaycare.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1201 1st St S",
"city": "Winter Haven",
"state": "FL",
"country_code": "US",
"postal_code": "338803904",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winter Haven, FL
- Michele Faucher, LCSW
- Marc Feldman, DPM, PA
- Eduardo Feliciano Sotero, RBT-25-481153
- Tanise Fenelon, DPT
- Lareesa Monique Ferdinand, M.D.
- Antonio N. Fernandez, M.D.
- Dianela Fernandez, RBT
- Raymond Peter Fernandez, DC
- Raquel Caroline Ferreira Lopes Fontanelli, PHD, BC-HIS
- Angela Elizabeth Ferriolo, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.