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SAMI AFRIN ISLAM
NPI 1194336537
Counselor - Mental Health in Fresno, CA

Active since August 10, 2020PECOS EnrolledAccepts Medicare Assignment
2934 N FRESNO ST, FRESNO, CA 93703(559) 549-6697 Get Directions Write a Review

NPPES record last updated: November 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2021, Oct 13, 2021, Aug 10, 2020 (3 updates tracked since 2020).

About Sami Afrin Islam NPPES

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

SAMI AFRIN ISLAM (NPI 1194336537) is an individual mental health provider in Fresno, California, licensed in California (104409) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194336537
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMI AFRIN ISLAM
Location Address2934 N FRESNO STFresno, CA 93703-1123
Mailing Address3433 W Shaw Ave Ste 102Fresno, CA 93711-3229 · (559) 558-4051
Phone(559) 549-6697
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 10, 2020
Last NPPES UpdateNovember 6, 20213 updates tracked since enumeration
NPPES CertifiedNovember 6, 2021
✔ NPI 1194336537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 104409
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2934 N FRESNO ST, Fresno, CA 93703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sami Afrin Islam 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 ID1355815028
PECOS Enrollment IDI20260702003244
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.

Medicare Billing Reassignment

Medicare enrollment records show Sami Islam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telehealth Specialty Medical Group
159 mi
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 clinicians in this Medicare group
NPI 1326338237 (916) 740-3721

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 20

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

KAMI LEE ANN SEAGO LPT
Licensed Psychiatric Technician
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6697
MS. LATOYA DENISE ROBINSON MA
Marriage & Family Therapist
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6697
JEANNETTE CASTRO
Counselor
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6697
LINDSEY MARIE PORTILLO
Counselor (Mental Health)
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6697
MS. LYNETTE MERCADO BARTUCCI M.S., CRC, APCC#7835
Counselor (Professional)
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6697
MS. JACQUELINE MARIE LUJANO
Marriage & Family Therapist
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6697
PERLA INZUNZA
Marriage & Family Therapist
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6697
MS. CHANTAL NICOLE HURTADO VILLANUEVA
Peer Specialist
2934 N FRESNO ST
FRESNO, CA 93703
Fresno County (559) 549-6997

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 Sami Islam's NPI number?

The NPI number for Sami Islam is 1194336537. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Sami Islam located?

Sami Islam practices at 2934 N Fresno St, Fresno, CA 93703. The listed phone number is (559) 549-6697.

What is Sami Islam's specialty?

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

Is Sami Islam enrolled in Medicare?

Yes. Sami Islam 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.

Which organization bills Medicare for Sami Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sami Islam reassigns Medicare benefits to Telehealth Specialty Medical Group (Roseville, CA). 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 Sami Islam'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 Sami Islam was last updated on November 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.