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

Q: 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.

Q: What is Samantha Rothrock's specialty?

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

Q: 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 6 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.

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: August 02, 2026.

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

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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 CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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))