SAMANTHA JANE SMITH LPC
NPI 1124613005
Counselor - Professional in Saint Louis, MO

Active since March 03, 2021PECOS Enrolled
11166 TESSON FERRY RD STE 300, SAINT LOUIS, MO 63123(314) 802-2658(314) 842-2552 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, Feb 1, 2023, Mar 3, 2021 (3 updates tracked since 2021).

About Samantha Jane Smith Lpc NPPES

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

SAMANTHA JANE SMITH LPC (NPI 1124613005) is an individual professional provider in Saint Louis, Missouri and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124613005
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA JANE SMITHCredential: LPC
Location Address11166 TESSON FERRY RD STE 300Saint Louis, MO 63123-6966
Mailing Address2650 Olive StSaint Louis, MO 63103-1489 · (314) 371-6500
Fax(314) 842-2552
Sole ProprietorNo
Enumeration DateMarch 3, 2021
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1124613005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
11166 TESSON FERRY RD STE 300, Saint Louis, MO 63123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Jane Smith Lpc 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.

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
Counselor (Mental Health)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
Social Worker (Clinical)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
Social Worker
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123
Counselor (Professional)
11166 TESSON FERRY RD STE 300
SAINT LOUIS, MO 63123

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 Smith's NPI number?

The NPI number for Samantha Smith is 1124613005. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Samantha Smith located?

Samantha Smith practices at 11166 Tesson Ferry Rd Ste 300, Saint Louis, MO 63123. The listed phone number is (314) 802-2658.

What is Samantha Smith's specialty?

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

Is Samantha Smith enrolled in Medicare?

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

What insurance does Samantha Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Samantha Smith 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 Smith was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.