SAMUEL YULY LPC
NPI 1114763547
Counselor - Professional in Harrisburg, PA

Active since July 04, 2024PECOS EnrolledAccepts Medicare Assignment
4201 CRUMS MILL RD STE 200, HARRISBURG, PA 17112(610) 892-3800 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Mar 5, 2026, Jul 4, 2024 (3 updates tracked since 2024).

About Samuel Yuly Lpc NPPES

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

SAMUEL YULY LPC (NPI 1114763547) is an individual professional provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (PC017337) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114763547
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL YULYCredential: LPC
Location Address4201 CRUMS MILL RD STE 200Harrisburg, PA 17112-2893
Mailing Address4201 Crums Mill Rd Ste 200Harrisburg, PA 17112-2893 · (610) 892-3800
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 4, 2024
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
NPI 1114763547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC017337
4201 CRUMS MILL RD STE 200, Harrisburg, PA 17112

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

Samuel Yuly Lpc 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 ID446734529
PECOS Enrollment IDI20260318000689
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.

Other Providers at the Same Location NPPES 11

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

Psychologist (Clinical)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112
Counselor (Professional)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112
Counselor (Professional)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112
Counselor (Professional)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112
Social Worker (Clinical)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112
Counselor (Professional)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112
Counselor (Professional)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112
Social Worker (Clinical)
4201 CRUMS MILL RD STE 200
HARRISBURG, PA 17112

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 Samuel Yuly's NPI number?

The NPI number for Samuel Yuly is 1114763547. It was assigned to this individual provider in the NPPES registry on July 4, 2024.

Where is Samuel Yuly located?

Samuel Yuly practices at 4201 Crums Mill Rd Ste 200, Harrisburg, PA 17112. The listed phone number is (610) 892-3800.

What is Samuel Yuly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samuel Yuly enrolled in Medicare?

Yes. Samuel Yuly 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 Samuel Yuly was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.