Individual provider Active NPI

Samantha Heeren, LMFT

  • Mental Health Counselor
  • Bristol, PA
National Provider Identifier
1407527971
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MF001214 Issued in PA
Practice address
499 Bath Road
Bristol, PA 19007
Phone
(215) 458-4200
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 MF001214 PA Primary

Addresses

Primary practice location

499 Bath Road
Bristol, PA 19007

Mailing address

499 Bath Road
Bristol, PA 19007
Phone (215) 458-4200

Other practice location 1

2617 Street Rd # 316
Bensalem, PA 19020-2864
Phone (215) 690-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240401000995 PA Practitioner - Marriage and Family Therapist 5496193195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lenape Valley FoundationGroup PAC ID 7719960913, 66 clinicians

Practice addresses (Care Compare)

499 Bath Rd
Bristol, PA 19007-3101
Phone (215) 458-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lenape Valley Foundation Mental Health CurrentSince Feb 19, 2024 Accepting new patients
Lenape Valley Foundation CurrentSince Feb 19, 2024 Accepting new patients
Lenape Valley Foundation Mental Health Past Accepting new patients

Locations

500 N West St
Doylestown, PA 18901
Phone (267) 893-5118

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1407527971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 BATH ROAD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "215-458-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 BATH ROAD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "215-458-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2617 Street Rd # 316",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190202864",
            "country_code": "US",
            "telephone_number": "215-690-1059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEEREN",
        "first_name": "SAMANTHA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "MF001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

Verify at the official NPI Registry.