SAMANTHA BOHR LPC
NPI 1114693058
Counselor - Professional in Moon Township, PA
About Samantha Bohr Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA BOHR LPC (NPI 1114693058) is an individual professional provider in Moon Township, Pennsylvania, licensed in Pennsylvania (PC013549) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warrendale, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Bohr Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Bohr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moon Township, PA 15108
- Reassigned Medicare billing, Pennsylvania enrollment
- 18 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOON TOWNSHIP, PA 15108
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 Bohr's NPI number?
The NPI number for Samantha Bohr is 1114693058. It was assigned to this individual provider in the NPPES registry on August 20, 2021. The provider is also known as Samantha's Peaceful Pathways LLC.
Where is Samantha Bohr located?
Samantha Bohr practices at 1010 Brodhead Rd, Moon Township, PA 15108. The listed phone number is (412) 339-1782.
What is Samantha Bohr's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Samantha Bohr enrolled in Medicare?
Yes. Samantha Bohr is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Bohr's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bohr reassigns Medicare benefits to Favored Wellness Counseling And Consulting, LLC (Moon Township, PA). 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 Bohr'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 Bohr was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Samantha Bohr, LPC · NPI 1114693058
Professional provider in Moon Township, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 20, 2021.
## Identity
- **NPI:** 1114693058 (Entity type: Individual)
- **Enumerated:** August 20, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC013549 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1010 BRODHEAD RD, Moon Township, PA 15108-2322
- **Phone:** (412) 339-1782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Favored Wellness Counseling And Consulting, LLC (NPI 1457986721, Moon Township, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 2, 2025
- **Other identifiers:** Medicaid 1042599860002 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1114693058) · Data from the CMS NPPES public registry.