SAMANTHA WALSH LPC
NPI 1124716956
Counselor - Mental Health in Broomfield, CO
About Samantha Walsh Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA WALSH LPC (NPI 1124716956) is an individual mental health provider in Broomfield, Colorado, licensed in Colorado (LPC.0022242) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Samantha Walsh 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.
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.
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 Walsh's NPI number?
The NPI number for Samantha Walsh is 1124716956. It was assigned to this individual provider in the NPPES registry on April 28, 2023.
Where is Samantha Walsh located?
Samantha Walsh practices at 12169 Sheridan Blvd, Broomfield, CO 80020. The listed phone number is (303) 603-9400.
What is Samantha Walsh's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samantha Walsh enrolled in Medicare?
Yes. Samantha Walsh 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 Samantha Walsh was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 Walsh, LPC · NPI 1124716956
Mental Health provider in Broomfield, Colorado. Individual provider, active in the CMS NPPES registry since April 28, 2023.
## Identity
- **NPI:** 1124716956 (Entity type: Individual)
- **Enumerated:** April 28, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC.0022242 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12169 SHERIDAN BLVD, Broomfield, CO 80020-2459
- **Phone:** (303) 603-9400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124716956) · Data from the CMS NPPES public registry.