CHINYERE SAMPSON LPC, CAADC
NPI 1104295773
Counselor - Professional in Jackson, MI
About Chinyere Sampson Lpc, Caadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHINYERE SAMPSON LPC, CAADC (NPI 1104295773) is an individual professional provider in Jackson, Michigan, licensed in Michigan (L913196) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Chinyere Sampson Lpc, Caadc 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.
Medicare Billing Reassignment
Medicare enrollment records show Chinyere Sampson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MI 49202
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
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.
JACKSON, MI 49202
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 Chinyere Sampson's NPI number?
The NPI number for Chinyere Sampson is 1104295773. It was assigned to this individual provider in the NPPES registry on September 24, 2015.
Where is Chinyere Sampson located?
Chinyere Sampson practices at 1200 N West Ave, Jackson, MI 49202. The listed phone number is (517) 789-1209.
What is Chinyere Sampson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Chinyere Sampson enrolled in Medicare?
Yes. Chinyere Sampson 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 Chinyere Sampson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chinyere Sampson reassigns Medicare benefits to Jackson-Hillsdale Community Mental Health Board (Jackson, MI). 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 Chinyere Sampson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chinyere Sampson accept?
Health plans from Oscar Insurance Company, Priority Health and UnitedHealthcare list Chinyere Sampson 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 Chinyere Sampson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Chinyere Sampson, LPC, CAADC · NPI 1104295773
Professional provider in Jackson, Michigan. Individual provider, active in the CMS NPPES registry since September 24, 2015.
## Identity
- **NPI:** 1104295773 (Entity type: Individual)
- **Enumerated:** September 24, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** L913196 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N WEST AVE, Jackson, MI 49202-2179
- **Phone:** (517) 789-1209
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jackson-Hillsdale Community Mental Health Board (NPI 1063466274, Jackson, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104295773) · Data from the CMS NPPES public registry.