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

MS. SAMANTHA ANNE MIEMCZEWSKI LCPC
NPI 1033456348
Counselor - Professional in St Charles, IL

Active since January 07, 2013PECOS Enrolled
3805 E MAIN ST STE M, ST CHARLES, IL 60174(630) 305-5118 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Oct 3, 2023 (2 updates tracked since 2023).

About Ms. Samantha Anne Miemczewski Lcpc NPPES

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

MS. SAMANTHA ANNE MIEMCZEWSKI LCPC (NPI 1033456348) is an individual professional provider in St Charles, Illinois, licensed in Illinois (180012163) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033456348
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SAMANTHA ANNE MIEMCZEWSKICredential: LCPC
Location Address3805 E MAIN ST STE MSt Charles, IL 60174-2487
Mailing Address2650 Ridge Ave # 1223Evanston, IL 60201-1700
Sole ProprietorNo
Enumeration DateJanuary 7, 2013
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1033456348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180012163
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3805 E MAIN ST STE M, St Charles, IL 60174

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 (PECOS)

Ms. Samantha Anne Miemczewski Lcpc 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 6

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

Counselor (Professional)
3805 E MAIN ST STE M
ST CHARLES, IL 60174
Psychiatry & Neurology (Psychiatry)
3805 E MAIN ST STE M
ST CHARLES, IL 60174
Physician Assistant
3805 E MAIN ST STE M
ST CHARLES, IL 60174
Counselor (Professional)
3805 E MAIN ST STE M
ST CHARLES, IL 60174
Physician Assistant
3805 E MAIN ST STE M
ST CHARLES, IL 60174
Social Worker (Clinical)
3805 E MAIN ST STE M
ST CHARLES, IL 60174

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 Miemczewski's NPI number?

The NPI number for Samantha Miemczewski is 1033456348. It was assigned to this individual provider in the NPPES registry on January 7, 2013.

Where is Samantha Miemczewski located?

Samantha Miemczewski practices at 3805 E Main St Ste M, St Charles, IL 60174. The listed phone number is (630) 305-5118.

What is Samantha Miemczewski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Miemczewski enrolled in Medicare?

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

What insurance does Samantha Miemczewski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Providence Health Plan list Samantha Miemczewski 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 Miemczewski was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.