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

Q: 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.

Q: What is Samantha Miemczewski's specialty?

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

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: October 25, 2026.

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

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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

Phone(630) 305-5118

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Endeavor Health Medical Group

32 mi

Allergy & Immunology

1000 CENTRAL ST
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1497701882 (847) 570-5235

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 6

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

SUSIE MAGUIRE LCPC

Counselor (Professional)