MICHELLE DIANE SAMIS LMFT23714
NPI 1073351615
Counselor - Mental Health in Aptos, CA

Active since July 17, 2024Opted out of Medicare · through Jul 20, 2028
440 PALMER AVE, APTOS, CA 95003(831) 818-8834 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Michelle Diane Samis Lmft23714 NPPES

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

MICHELLE DIANE SAMIS LMFT23714 (NPI 1073351615) is an individual mental health provider in Aptos, California, licensed in California (LMFT23714) and active in the NPI registry since July 2024. She has opted out of Medicare through July 20, 2028.

NPPES Registry Identity

NPI1073351615
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE DIANE SAMISCredential: LMFT23714
Location Address440 PALMER AVEAptos, CA 95003-5247
Mailing Address440 Palmer AveAptos, CA 95003-5247 · (831) 818-8834
Sole ProprietorYes
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1073351615 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 CA · LMFT23714
440 PALMER AVE, Aptos, CA 95003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michelle Diane Samis Lmft23714 has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 20, 2024 through July 20, 2028.

Opt-Out Effective DateJuly 20, 2024
Opt-Out In Effect ThroughJuly 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Michelle Samis's NPI number?

The NPI number for Michelle Samis is 1073351615. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Michelle Samis located?

Michelle Samis practices at 440 Palmer Ave, Aptos, CA 95003. The listed phone number is (831) 818-8834.

What is Michelle Samis's specialty?

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

Is Michelle Samis enrolled in Medicare?

No. Michelle Samis has opted out of Medicare through July 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Samis was last updated on July 17, 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.