Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA MANN
NPI 1003915711
Psychologist in Maxwelton, WV

Active since September 21, 2006
804 INDUSTRIAL PARK RD, MAXWELTON, WV 24957(888) 736-3229(304) 497-0156 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Feb 17, 2025 (2 updates tracked since 2025).

About Samantha Mann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MANN (NPI 1003915711) is an individual psychologist in Maxwelton, West Virginia, licensed in West Virginia (757) and active in the NPI registry since September 2006. She is a graduate of Other (1992).

NPPES Registry Identity

NPI1003915711
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSAMANTHA MANN
Location Address804 INDUSTRIAL PARK RDMaxwelton, WV 24957-8066
Mailing Address131 Wellness DrSummersville, WV 26651-5402 · (304) 486-8571
Fax(304) 497-0156
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 28, 20262 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1003915711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WV · 757
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2269 (WV)
804 INDUSTRIAL PARK RD, Maxwelton, WV 24957

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Mann 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.

PECOS PAC ID2264512722
PECOS Enrollment IDI20080109000596

Medicare Billing Reassignment

Medicare enrollment records show Samantha Mann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
804 INDUSTRIAL PARK RD
Maxwelton, WV 24957
  • Reassigned Medicare billing, West Virginia enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training/Habilitation Specialist
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957
Day Training/Habilitation Specialist
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957
Case Manager/Care Coordinator
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957
Community Health Worker
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957
Licensed Practical Nurse
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957
Registered Nurse
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957
Counselor (Professional)
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957
Day Training/Habilitation Specialist
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957

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 Samantha Mann's NPI number?

The NPI number for Samantha Mann is 1003915711. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Samantha Mann located?

Samantha Mann practices at 804 Industrial Park Rd, Maxwelton, WV 24957. The listed phone number is (888) 736-3229.

What is Samantha Mann's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Samantha Mann enrolled in Medicare?

Yes. Samantha Mann 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.

Which organization bills Medicare for Samantha Mann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mann reassigns Medicare benefits to Seneca Health Services, Inc. (Maxwelton, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Mann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Mann accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance list Samantha Mann 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 Samantha Mann was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.