SAMANTHA KELLY FLETCHER
NPI 1245956929
Counselor - Mental Health in Muncie, IN

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since October 14, 2022PECOS Enrolled

240 N TILLOTSON AVE, MUNCIE, IN 47304(765) 288-1928(765) 741-0359 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2022, Oct 14, 2022 (2 updates tracked since 2022).

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About Samantha Kelly Fletcher NPPES

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

SAMANTHA KELLY FLETCHER (NPI 1245956929) is an individual mental health provider in Muncie, Indiana and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245956929

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSAMANTHA KELLY FLETCHER

Location Address240 N TILLOTSON AVEMuncie, IN 47304-3988

Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928 · Fax (765) 741-0310

Phone(765) 288-1928

Fax(765) 741-0359

Sole ProprietorNo

Enumeration DateOctober 14, 2022

Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration

NPPES CertifiedOctober 21, 2022

✔ NPI 1245956929 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

Also ListedCounselorTaxonomy 101Y00000X · License 99114518A (IN)

240 N TILLOTSON AVE, Muncie, IN 47304

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Other Names 1

Former Name (1)Samantha Kelly Carlson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Kelly Fletcher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MS. ANN W WIESEKE NURSE PRACTITIONER

Nurse Practitioner