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MRS. SAMANTHA MARIE POTAPCHUK LMHC
NPI 1144969643
Counselor - Mental Health in Bethpage, NY

Active since June 02, 2022Opted out of Medicare · through Aug 31, 2027
1211 STEWART AVE, BETHPAGE, NY 11714(516) 465-3998 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Samantha Marie Potapchuk Lmhc NPPES

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

MRS. SAMANTHA MARIE POTAPCHUK LMHC (NPI 1144969643) is an individual mental health provider in Bethpage, New York, licensed in New York (016457) and active in the NPI registry since June 2022. She has opted out of Medicare through August 31, 2027.

NPPES Registry Identity

NPI1144969643
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SAMANTHA MARIE POTAPCHUKCredential: LMHC
Location Address1211 STEWART AVEBethpage, NY 11714-1601
Mailing Address1211 Stewart AveBethpage, NY 11714-1601 · (516) 465-3998
Phone(516) 465-3998
Sole ProprietorNo
Enumeration DateJune 2, 2022
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1144969643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 016457
1211 STEWART AVE, Bethpage, NY 11714
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Samantha Marie Potapchuk Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 31, 2025 through August 31, 2027.

Opt-Out Effective DateAugust 31, 2025
Opt-Out In Effect ThroughAugust 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

THE LONG ISLAND MENTAL HEALTH COUNSELING GROUP, PC
Counselor (Mental Health)
1211 STEWART AVE, SUITE 100
BETHPAGE, NY 11714
Nassau County (516) 428-0741
MS. ANA GABRIELLA LOEW LMHC, CASAC
Counselor (Mental Health)
1211 STEWART AVE
BETHPAGE, NY 11714
Nassau County (516) 665-0990
MELISSA RYAN
Counselor (Mental Health)
1211 STEWART AVE
BETHPAGE, NY 11714
Nassau County (516) 465-3998
ANGELA MARIE FIOCCOLA
Counselor (Mental Health)
1211 STEWART AVE
BETHPAGE, NY 11714
Nassau County (516) 698-9080

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 Potapchuk's NPI number?

The NPI number for Samantha Potapchuk is 1144969643. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Samantha Potapchuk located?

Samantha Potapchuk practices at 1211 Stewart Ave, Bethpage, NY 11714. The listed phone number is (516) 465-3998.

What is Samantha Potapchuk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samantha Potapchuk enrolled in Medicare?

No. Samantha Potapchuk has opted out of Medicare through August 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Potapchuk was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.