JENNIFER D SAMSOM MA
NPI 1003129115
Counselor - Mental Health in Portland, OR
About Jennifer D Samsom Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER D SAMSOM MA (NPI 1003129115) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C3886) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer D Samsom Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Samsom's NPI number?
The NPI number for Jennifer Samsom is 1003129115. It was assigned to this individual provider in the NPPES registry on July 17, 2010.
Where is Jennifer Samsom located?
Jennifer Samsom practices at 2245 SW Troy St, Portland, OR 97219. The listed phone number is (503) 341-6393.
What is Jennifer Samsom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jennifer Samsom enrolled in Medicare?
Yes. Jennifer Samsom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jennifer Samsom accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jennifer Samsom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer Samsom was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennifer D Samsom, MA · NPI 1003129115
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 17, 2010.
## Identity
- **NPI:** 1003129115 (Entity type: Individual)
- **Enumerated:** July 17, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C3886 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2245 SW TROY ST, Portland, OR 97219-2657
- **Phone:** (503) 341-6393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** December 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003129115) · Data from the CMS NPPES public registry.