Samantha Carroll, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

179.019203 Issued in IL

Practice address

151 N Main St
Decatur, IL 62523-1206

Phone

(217) 362-6262

Fax

(217) 362-6290

NPI assigned

Jan 29, 2024

Last updated

Sep 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heritage Behavioral Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
  • NPI 1639231731
  Medicare reassignment NPD
• Heritage Behavioral Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
  • NPI 1295575330
  NPD
• Heritage Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
  • NPI 1477727808
  NPD (past)
• Heritage Behavioral Health Center

  • Community/Behavioral Health Agency
  • Decatur, IL
  • NPI 1508196494
  NPD (past)
• Heritage Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
  • NPI 1659544872
  NPD (past)
• Heritage Behavioral Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, IL
  • NPI 1881128965
  NPD (past)
• Heritage Behavioral Health Center Inc.

  • Primary Care Clinic/Center
  • Decatur, IL
  • NPI 1023708880
  NPD (past)
• Heritage Behavioral Health Center Inc.

  • Primary Care Clinic/Center
  • Decatur, IL
  • NPI 1104609544
  NPD (past)
• Heritage Behavioral Health Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
  • NPI 1922277045
  NPD (past)
• Heritage Behavioral Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Decatur, IL
  • NPI 1235527524
  NPD (past)
• Heritage Behavioral Health Center, Inc

  • Community Health Clinic/Center
  • Decatur, IL
  • NPI 1891527263
  NPD (past)
• Heritage Behavioral Health Center, Inc.

  • Methadone Clinic
  • Decatur, IL
  • NPI 1063029361
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1629830211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231206",
            "telephone_number": "217-362-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231206",
            "telephone_number": "217-362-6262",
            "fax_number": "217-362-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "179.019203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Carie, MS, RD, LDN
• Carle Health Care Incorporated
• Robert Gibson Carney Jr., M.D.
• Eric Matthew Carrier, P.A.-C
• Elizabeth S Carriker, LCSW
• Megan Carter, LSW
• Carrie Casch
• Kimberly A Casteel
• Alexandria Castracane, PHARMD
• Catholic Charities

• Professional Counselor in Decatur, IL
• Providers in Decatur, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.

Verify at the official NPI Registry.