Samantha Elizabeth Fontana, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015244 Issued in NY

Practice address

900 Wheeler Rd
Hauppauge, NY 11788-2964

Phone

(631) 365-4454

NPI assigned

Sep 30, 2024

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 26, 2025 through Nov 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Spotless Mind Mental Health Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hauppauge, NY
  • NPI 1245980267
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1790503613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 2ND ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541904",
            "telephone_number": "516-507-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WHEELER RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882964",
            "telephone_number": "631-365-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Flaherty, MSED
• Alan S. Flicker, PH.D.
• Nikki Taylor Fogarty, LMSW
• Kaela Fogelstrom, MS, OTR/L
• Susan Folks
• Elaine Ford, LCSW
• Elliot Lance Forman, D.C.
• Deandra Foster
• Migdalia Fox
• Deborah Frallicciardi, M.S. EDUCATION

• Mental Health Counselor in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.