Individual provider Active NPI

Samantha R Milano, MHC-LP, CASAC 2

  • Mental Health Counselor
  • Bellport, NY
National Provider Identifier
1942953443
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11 Farber Dr
Bellport, NY 11713-1500
Phone
(631) 286-0700
Fax
(631) 286-0688
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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 NY Primary

Addresses

Primary practice location

11 Farber Dr
Bellport, NY 11713-1500

Mailing address

11 Farber Dr
Bellport, NY 11713-1500
Phone (631) 286-0700

Other names 1

  • Mrs. Samantha R Meehan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260611000932 NY Practitioner - Mental Health Counselor 0648742627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1377 Motor Pkwy
Suite 102
Islandia, NY 11749-5249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Development Corporation CurrentSince Feb 6, 2022 Accepting new patients

Locations

11 Farber Dr
Bellport, NY 11713
Phone (631) 286-0700

Organizations & group practices 2

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": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1942953443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FARBER DR",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131500",
            "telephone_number": "631-286-0700",
            "fax_number": "631-286-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FARBER DR",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131500",
            "telephone_number": "631-286-0700",
            "fax_number": "631-286-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANO",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MHC-LP, CASAC 2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MEEHAN",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "MHC-LP, CASAC 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellport, NY

Sources for this page

Verify at the official NPI Registry.