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SAMUEL ADAM LMHC
NPI 1053915165
Counselor - Mental Health in Clifton Park, NY

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
1 BARNEY RD STE 234, CLIFTON PARK, NY 12065(518) 390-5014 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Dec 7, 2021, Nov 30, 2020 (3 updates tracked since 2020).

About Samuel Adam Lmhc NPPES

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

SAMUEL ADAM LMHC (NPI 1053915165) is an individual mental health provider in Clifton Park, New York, licensed in New York (012451) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1053915165
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL ADAMCredential: LMHC
Location Address1 BARNEY RD STE 234Clifton Park, NY 12065-5835
Mailing Address1 Barney Rd Ste 234Clifton Park, NY 12065-5835 · (518) 390-5014
Phone(518) 390-5014
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 30, 2020
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1053915165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 012451
1 BARNEY RD STE 234, Clifton Park, NY 12065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Adam Lmhc 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 ID9032617097
PECOS Enrollment IDI20250808002014
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

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

MEGAN MCCLEARN LMHC, CASAC
Counselor (Mental Health)
1 BARNEY RD STE 234
CLIFTON PARK, NY 12065
Saratoga County (518) 517-5979

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 Samuel Adam's NPI number?

The NPI number for Samuel Adam is 1053915165. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Samuel Adam located?

Samuel Adam practices at 1 Barney Rd Ste 234, Clifton Park, NY 12065. The listed phone number is (518) 390-5014.

What is Samuel Adam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samuel Adam enrolled in Medicare?

Yes. Samuel Adam 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.

When was this NPI record last updated?

The NPPES record for Samuel Adam was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.