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SAM CHAMPAGNE
NPI 1093280299
Counselor - Mental Health in Albany, NY

Active since October 04, 2018PECOS EnrolledAccepts Medicare Assignment
3 WASHINGTON SQ STE 3, ALBANY, NY 12205(518) 456-7501 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2023, Oct 4, 2018 (2 updates tracked since 2018).

About Sam Champagne NPPES

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

SAM CHAMPAGNE (NPI 1093280299) is an individual mental health provider in Albany, New York, licensed in New York (P13515) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093280299
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAM CHAMPAGNE
Location Address3 WASHINGTON SQ STE 3Albany, NY 12205-5516
Mailing Address3 Washington Sq Ste 3Albany, NY 12205-5516 · (518) 456-7501
Phone(518) 456-7501
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 4, 2018
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1093280299 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 · P13515
3 WASHINGTON SQ STE 3, Albany, NY 12205
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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

Sam Champagne 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 ID1658896915
PECOS Enrollment IDI20250418001251
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.

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 Sam Champagne's NPI number?

The NPI number for Sam Champagne is 1093280299. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Sam Champagne located?

Sam Champagne practices at 3 Washington Sq Ste 3, Albany, NY 12205. The listed phone number is (518) 456-7501.

What is Sam Champagne's specialty?

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

Is Sam Champagne enrolled in Medicare?

Yes. Sam Champagne 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 Sam Champagne was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.