SAMANTHA LESLIE MATESIC LMHC
NPI 1093368359
Counselor - Mental Health in Woodbridge, VA

Q: What is Samantha Matesic's NPI number?

The NPI number for Samantha Matesic is 1093368359. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Q: What is Samantha Matesic's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Matesic was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since July 16, 2019PECOS Enrolled

3555 SHERBROOKE CIR, WOODBRIDGE, VA 22192(561) 921-7803 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Nov 15, 2024, Mar 2, 2020 and 1 more (4 updates tracked since 2019).

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About Samantha Leslie Matesic Lmhc NPPES

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

SAMANTHA LESLIE MATESIC LMHC (NPI 1093368359) is an individual mental health provider in Woodbridge, Virginia, licensed in Virginia (0701016054) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093368359

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSAMANTHA LESLIE MATESICCredential: LMHC

Location Address3555 SHERBROOKE CIRWoodbridge, VA 22192-7033

Mailing Address3555 Sherbrooke CirWoodbridge, VA 22192-7033 · (561) 921-7803

Phone(561) 921-7803

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 16, 2019

Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1093368359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in VA · 0701016054✔ Licensed in FL · MH16522

3555 SHERBROOKE CIR, Woodbridge, VA 22192

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Other Identifiers 1

Medicaid1055493-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Leslie Matesic Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567935968

PECOS Enrollment IDI20260630000159

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 Matesic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA

906 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, District of Columbia and Florida enrollments
1,424 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Matesic's NPI number?

The NPI number for Samantha Matesic is 1093368359. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Samantha Matesic located?

Samantha Matesic practices at 3555 Sherbrooke Cir, Woodbridge, VA 22192. The listed phone number is (561) 921-7803.

What is Samantha Matesic's specialty?

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

Is Samantha Matesic enrolled in Medicare?

Yes. Samantha Matesic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Matesic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Matesic reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Matesic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Matesic accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health and UnitedHealthcare list Samantha Matesic 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 Matesic was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.