SAMANTHA PERRY
NPI 1225763303
Counselor - Mental Health in Lexington, NC
About Samantha Perry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA PERRY (NPI 1225763303) is an individual mental health provider in Lexington, North Carolina, licensed in North Carolina (A17770) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Perry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Perry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, NC 27292
- Reassigned Medicare billing, North Carolina enrollment
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 2
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 Perry's NPI number?
The NPI number for Samantha Perry is 1225763303. It was assigned to this individual provider in the NPPES registry on July 21, 2022.
Where is Samantha Perry located?
Samantha Perry practices at 18 Court Sq, Lexington, NC 27292. The listed phone number is (336) 685-1634.
What is Samantha Perry's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samantha Perry enrolled in Medicare?
Yes. Samantha Perry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Perry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Perry reassigns Medicare benefits to Marigold Behavioral Health, PLLC. (Lexington, NC). 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 Samantha Perry'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 Samantha Perry was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samantha Perry · NPI 1225763303
Mental Health provider in Lexington, North Carolina. Individual provider, active in the CMS NPPES registry since July 21, 2022.
## Identity
- **NPI:** 1225763303 (Entity type: Individual)
- **Enumerated:** July 21, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A17770 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 18 COURT SQ, Lexington, NC 27292-3351
- **Phone:** (336) 685-1634 · **Fax:** (336) 742-8924
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Marigold Behavioral Health, PLLC. (NPI 1356189104, Lexington, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225763303) · Data from the CMS NPPES public registry.