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SAMANTHA JO ATWOOD LCMHC
NPI 1083954291
Counselor - Mental Health in Roosevelt, UT

Active since February 25, 2013PECOS EnrolledAccepts Medicare Assignment
285 W 800 S, ROOSEVELT, UT 84066(435) 725-6300(435) 725-6325 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Jo Atwood Lcmhc NPPES

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

SAMANTHA JO ATWOOD LCMHC (NPI 1083954291) is an individual mental health provider in Roosevelt, Utah and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083954291
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA JO ATWOODCredential: LCMHC
Location Address285 W 800 SRoosevelt, UT 84066-3707
Mailing Address285 W 800 SRoosevelt, UT 84066-3707 · (435) 725-6300 · Fax (435) 725-6325
Phone(435) 725-6300
Fax(435) 725-6325
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 25, 2013
Last NPPES UpdateFebruary 5, 2019
✔ NPI 1083954291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
285 W 800 S, Roosevelt, UT 84066
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Jo Atwood Lcmhc 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 ID9032554720
PECOS Enrollment IDI20240304004032
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 Atwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uintah Basin Tri-Co Mental Health & Substance Abuse Local Authority
33 mi
Community/Behavioral Health
1140 W 500 S
Vernal, UT 84078
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Uintah Basin Tri-County Mental Health And Substance Abuse Local Author
  • 27 clinicians in this Medicare group
NPI 1891873121 (435) 725-6300

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 20

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

TRACY ALEXANDRA BIGGS LCSW
Social Worker (Clinical)
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
THERESA J INGRAM LCSW
Social Worker (Clinical)
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
CARRIE ANNE WALLACE
Social Worker
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
SHIRLIE BURDICK
Case Manager/Care Coordinator
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
RACQUEL THOMPSON
Community Health Worker
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
KRISTOPHER JON WENTWORTH
Case Manager/Care Coordinator
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
KARIN G DOUTHIT LCSW
Social Worker (Clinical)
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300
ROCHELLE L DANLEY
Counselor (Mental Health)
285 W 800 S
ROOSEVELT, UT 84066
Duchesne County (435) 725-6300

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 Atwood's NPI number?

The NPI number for Samantha Atwood is 1083954291. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Where is Samantha Atwood located?

Samantha Atwood practices at 285 W 800 S, Roosevelt, UT 84066. The listed phone number is (435) 725-6300.

What is Samantha Atwood's specialty?

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

Is Samantha Atwood enrolled in Medicare?

Yes. Samantha Atwood 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.

Which organization bills Medicare for Samantha Atwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Atwood reassigns Medicare benefits to Uintah Basin Tri-Co Mental Health & Substance Abuse Local Authority (Vernal, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Atwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Atwood accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Samantha Atwood 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 Atwood was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.