Individual provider Active NPI

Samantha Ann Capistrant, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Berea, KY
National Provider Identifier
1962130302
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4053788 Issued in KY
Practice address
208 Kidd Dr
Berea, KY 40403-9593
Phone
(859) 428-7862
Fax
(859) 999-7869
NPI assigned
Aug 12, 2022
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2302151 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4053788 KY Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2302151 MA

Addresses

Primary practice location

208 Kidd Dr
Berea, KY 40403-9593

Mailing address

PO Box 802
Berea, KY 40403-0802
Phone (859) 428-7862

Other practice location 1

8 Atwood Dr
Northampton, MA 01060-4266
Phone (413) 773-1314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230306002939 MA Practitioner - Nurse Practitioner 5193198505 Reassigns benefits to 1 organization
I20260521001523 KY Practitioner - Nurse Practitioner 5193198505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parsons Counseling LLCGroup PAC ID 1557744984, 7 clinicians
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

208 Kidd Dr
Berea, KY 40403-9593
Phone (859) 428-7862

8 Atwood Dr
Northampton, MA 01060-4266
Phone (413) 582-0471

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2302151MAMDPsychiatric/Mental Health Registered Nurse
4053788KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Counseling, LLC Psychiatric/Mental Health CurrentSince Apr 10, 2026 Accepting new patients
Clinical & Support Options, Inc CurrentSince Dec 6, 2022 Accepting new patients

Locations

208 Kidd Dr
Berea, KY 40403
Phone (859) 428-7862

229 Churchill Dr
Ste 2
Richmond, KY 40475
Phone (859) 428-7862

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

8 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 528-0471

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1962130302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030802",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 KIDD DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039593",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Atwood Dr",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010604266",
            "country_code": "US",
            "telephone_number": "413-773-1314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPISTRANT",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2302151",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4053788",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2302151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.