Samantha Marcinko, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4320 Dexter Ave
Erie, PA 16504-2444

Phone

(814) 825-2930

Fax

(814) 825-2964

NPI assigned

Dec 11, 2019

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 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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abcs of Building Better Lives LLCGroup PAC ID 9931367950, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Abcs of Building Better Lives LLC

  • Professional Counselor
  • Erie, PA
  • NPI 1922336940
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1699313411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEXTER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042444",
            "telephone_number": "814-825-2930",
            "fax_number": "814-825-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DEXTER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042444",
            "telephone_number": "814-825-2930",
            "fax_number": "814-825-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINKO",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manucci Chiropractic Center
• Jeffrey John Manucci, DC
• Mark L Marbey, M.D.
• Debbie Marie Marche
• Meredith Anne Marcincin, D.O.
• Rebecca Kathleen Marcus, MD
• Anna Marhefka, SW
• Jessica M Marino, CRNP
• Morgan Marita
• Mark a Borland

• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.