Samantha Pancake

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PRS.007621 Issued in OH

Practice address

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Phone

(740) 237-4981

Fax

(740) 870-2073

NPI assigned

Nov 24, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bethesdaservicesllc/r4/

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.

• Bethesda Services LLC

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1790586444
  NPD
• Bethesda Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Ironton, OH
  • NPI 1992392005

  Single Specialty

  NPD
• United Family Recovery, LLC

  • Community/Behavioral Health Agency
  • Coal Grove, OH
  • NPI 1598366346
  NPD (past)
• United Family Recovery, LLC

  • Community/Behavioral Health Agency
  • Coal Grove, OH
  • NPI 1972100014

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1821959248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981",
            "fax_number": "740-870-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION PIKE STE 1",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382958",
            "telephone_number": "740-237-4981",
            "fax_number": "740-870-2073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Private Drive 1122 Ste A",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456389153",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 County Road 24",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456383186",
            "country_code": "US",
            "telephone_number": "740-237-4981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCAKE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "PRS.007621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Recovery, LLC
• Margaret L NG-Cadlaon, M.D
• Darrell Norris, PRS
• Stevie Marie Nutter, CDCA, CPRS
• Outshine Health Services Inc.
• Crystal Parsons, CDCA
• Valerie A Patrick, LSW
• Erin E Pemberton, APS.005409
• Kelly Perkins, PMHNP
• Courtney Phelps, CDCA. 173558

• Peer Specialist in Coal Grove, OH
• Providers in Coal Grove, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.