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SAMANTHA MAE REILLY ROTHROCK M.A.
NPI 1013566348
Counselor in Indianapolis, IN

Active since September 09, 2019PECOS Enrolled
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241(888) 714-1927 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2026, Sep 16, 2019, Sep 9, 2019 (3 updates tracked since 2019).

About Samantha Mae Reilly Rothrock M.a. NPPES

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

SAMANTHA MAE REILLY ROTHROCK M.A. (NPI 1013566348) is an individual counselor in Indianapolis, Indiana and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013566348
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA MAE REILLY ROTHROCKCredential: M.A.
Location Address5638 PROFESSIONAL CIRIndianapolis, IN 46241-5042
Mailing Address5101 E Us Highway 36 Ste 100Avon, IN 46123-6646 · (888) 714-1927 · Fax (317) 745-9565
Phone(888) 714-1927
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1013566348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5638 PROFESSIONAL CIR, Indianapolis, IN 46241
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Other Names 1

Former Name (1)Samantha Mae Reilly

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Mae Reilly Rothrock M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Rothrock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cummins Behavioral Health Systems, Incorporated
9.8 mi
Mental Health (Including Community Mental Health Center)
5101 E US HIGHWAY 36 STE 100
Avon, IN 46123
  • Reassigned Medicare billing, Indiana enrollment
  • 55 clinicians in this Medicare group
NPI 1740232115 (888) 714-1927
Jane Pauley Community Health Center Inc
15 mi
Federally Qualified Health Center (FQHC)
1503 N MITTHOEFFER RD STE 150
Indianapolis, IN 46229
  • Reassigned Medicare billing, Indiana enrollment
  • 153 clinicians in this Medicare group
NPI 1730488818 (317) 934-0755

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.

MARLENE J VILLECCO MS, LCAC
Counselor (Addiction (Substance Use Disorder))
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (888) 714-1927
MEAGAN STOLDT MSW,LSW
Social Worker
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (317) 247-8900
AVON'TE C WADDY
Social Worker
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (888) 714-1927
VIOLA ROTH
Counselor (School)
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (317) 247-8900
MEREDITH BROOKS
Social Worker
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (888) 714-1921
CHARITY GICHINA
Marriage & Family Therapist
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (888) 714-1927
ALEXANDRIA RAE ARNDT MSW, LSW
Social Worker (Clinical)
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (888) 714-1927
RAYGAN SAVAGE
Social Worker
5638 PROFESSIONAL CIR
INDIANAPOLIS, IN 46241
Marion County (888) 714-1927

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 Rothrock's NPI number?

The NPI number for Samantha Rothrock is 1013566348. It was assigned to this individual provider in the NPPES registry on September 9, 2019. The provider is also known as Samantha Mae Reilly.

Where is Samantha Rothrock located?

Samantha Rothrock practices at 5638 Professional Cir, Indianapolis, IN 46241. The listed phone number is (888) 714-1927.

What is Samantha Rothrock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samantha Rothrock enrolled in Medicare?

Yes. Samantha Rothrock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Rothrock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Rothrock reassigns Medicare benefits to 2 organizations: Cummins Behavioral Health Systems, Incorporated (Avon, IN) and Jane Pauley Community Health Center Inc (Indianapolis, IN). Each 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 Rothrock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Rothrock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Samantha Rothrock 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 Rothrock was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.