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DR. SAMANTHA JEAN TIPPY PSYD
NPI 1093445249
Psychologist - Clinical in Joliet, IL

Active since June 12, 2022PECOS Enrolled
210 N HAMMES AVE STE 205, JOLIET, IL 60435(815) 210-5045(815) 725-8144 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Jan 21, 2026, Jun 12, 2022 (3 updates tracked since 2022).

About Dr. Samantha Jean Tippy Psyd NPPES

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

DR. SAMANTHA JEAN TIPPY PSYD (NPI 1093445249) is an individual clinical provider in Joliet, Illinois, licensed in Illinois (071010775) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093445249
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMANTHA JEAN TIPPYCredential: PSYD
Location Address210 N HAMMES AVE STE 205Joliet, IL 60435-8139
Mailing Address210 N Hammes Ave Ste 205Joliet, IL 60435-8139 · (815) 729-7790 · Fax (815) 725-8144
Phone(815) 210-5045
Fax(815) 725-8144
Sole ProprietorNo
Enumeration DateJune 12, 2022
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1093445249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071010775
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
210 N HAMMES AVE STE 205, Joliet, IL 60435
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Jean Tippy Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Joliet Center For Clinical Research, Inc
Same address
Psychiatry
210 N HAMMES AVE STE 205
Joliet, IL 60435
  • Reassigned Medicare billing, Illinois enrollment
  • 14 clinicians in this Medicare group
NPI 1760647226 (815) 729-7790

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MRS. JUDY LAU CARINO MSN,ANP,PMHNP,APRN
Nurse Practitioner (Psychiatric/Mental Health)
210 N HAMMES AVE STE 205
JOLIET, IL 60435
Will County (815) 729-7790
MS. MAYA AKAI MONET GAVIN LPC
Counselor (Mental Health)
210 N HAMMES AVE STE 205
JOLIET, IL 60435
Will County (815) 725-8144
VICTORIA SCHMITT DNP
Nurse Practitioner (Psychiatric/Mental Health)
210 N HAMMES AVE STE 205
JOLIET, IL 60435
Will County (815) 729-7790
CHRISTINA MARIE COSENTINO LCPC
Counselor (Professional)
210 N HAMMES AVE STE 205
JOLIET, IL 60435
Will County (815) 729-7790
JOLIET CENTER FOR CLINICAL RESEARCH, INC
Psychiatry & Neurology (Psychiatry)
210 N HAMMES AVE STE 205
JOLIET, IL 60435
Will County (815) 729-7790
ANGELA J SANDERS LCPC
Counselor (Professional)
210 N HAMMES AVE STE 205
JOLIET, IL 60435
Will County (815) 729-7790
MISS YSAMAR F LOZANO APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
210 N HAMMES AVE STE 205
JOLIET, IL 60435
Will County (630) 991-1167

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 Tippy's NPI number?

The NPI number for Samantha Tippy is 1093445249. It was assigned to this individual provider in the NPPES registry on June 12, 2022.

Where is Samantha Tippy located?

Samantha Tippy practices at 210 N Hammes Ave Ste 205, Joliet, IL 60435. The listed phone number is (815) 210-5045.

What is Samantha Tippy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samantha Tippy enrolled in Medicare?

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

Which organization bills Medicare for Samantha Tippy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Tippy reassigns Medicare benefits to Joliet Center For Clinical Research, Inc (Joliet, IL). 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 Tippy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Tippy was last updated on August 18, 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.