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SAMUEL NEAL LPC
NPI 1235510702
Counselor - Professional in Coeur D Alene, ID

Active since June 10, 2015PECOS EnrolledAccepts Medicare Assignment
1044 NORTHWEST BLVD STE C, COEUR D ALENE, ID 83814(208) 930-1740(208) 930-1695 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samuel Neal Lpc NPPES

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

SAMUEL NEAL LPC (NPI 1235510702) is an individual professional provider in Coeur D Alene, Idaho, licensed in Idaho (LPC-3994) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235510702
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL NEALCredential: LPC
Location Address1044 NORTHWEST BLVD STE CCoeur D Alene, ID 83814-2114
Mailing Address6298 W Ebbtide DrCoeur D Alene, ID 83814-9755 · (208) 640-5367
Phone(208) 930-1740
Fax(208) 930-1695
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 10, 2015
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1235510702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · LPC-3994
1044 NORTHWEST BLVD STE C, Coeur D Alene, ID 83814
Open in Google Maps ↗

Secondary Practice Location 1

Location 11042 W Mill Ave, Suite 207Coeur D Alene, ID 83814-2489 · Phone (208) 676-9912 ext. 107 · Fax (208) 665-5795

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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

Samuel Neal 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.

PECOS PAC ID3173975984
PECOS Enrollment IDI20240117002993
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 Samuel Neal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambitions Of Idaho, Inc
Same address
Mental Health (Including Community Mental Health Center)
1044 NORTHWEST BLVD STE C
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 9 clinicians in this Medicare group
NPI 1003145533 (208) 930-1740

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 15

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

AMBITIONS OF IDAHO, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
MISS LARA PATRICE GAGNE
Marriage & Family Therapist
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
GILLIAN SHEFFIELD SCOVILLE LCSW
Social Worker (Clinical)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
MORGAN SUZANNE BRUCE LMSW
Counselor (Mental Health)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
SARA GRAY M.ED., CADC
Counselor (Addiction (Substance Use Disorder))
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
TANYA RYAN LCSW
Social Worker (Clinical)
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740
KRISTINA MARIE JONES-TARR LMSW
Social Worker
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 667-7777
MICHAEL GEORGESCU
Social Worker
1044 NORTHWEST BLVD STE C
COEUR D ALENE, ID 83814
Kootenai County (208) 930-1740

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 Samuel Neal's NPI number?

The NPI number for Samuel Neal is 1235510702. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Samuel Neal located?

Samuel Neal practices at 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814. The listed phone number is (208) 930-1740.

What is Samuel Neal's specialty?

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

Is Samuel Neal enrolled in Medicare?

Yes. Samuel Neal 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 Samuel Neal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Neal reassigns Medicare benefits to Ambitions Of Idaho, Inc (Coeur D Alene, ID). 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 Samuel Neal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Neal accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Samuel Neal 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 Samuel Neal was last updated on October 12, 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.