MS. SAMANTHA D TYREE MA, LPC
NPI 1255780102
Counselor - Professional in Minooka, IL
About Ms. Samantha D Tyree Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SAMANTHA D TYREE MA, LPC (NPI 1255780102) is an individual professional provider in Minooka, Illinois, licensed in Illinois (178.012030) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
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 and accepts Medicare assignment
Ms. Samantha D Tyree Ma, 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Tyree reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Channahon, IL 60410
- Reassigned Medicare billing, Illinois enrollment
- 24 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tyree's NPI number?
The NPI number for Samantha Tyree is 1255780102. It was assigned to this individual provider in the NPPES registry on June 10, 2016.
Where is Samantha Tyree located?
Samantha Tyree practices at 109 White Ln Apt 1, Minooka, IL 60447. The listed phone number is (815) 955-9068.
What is Samantha Tyree's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Samantha Tyree enrolled in Medicare?
Yes. Samantha Tyree 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 Samantha Tyree's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Tyree reassigns Medicare benefits to Alliance Counseling & Coaching Of Illinois, PLLC (Channahon, IL). 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 Tyree'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 Tyree was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Samantha D Tyree, MA, LPC · NPI 1255780102
Professional provider in Minooka, Illinois. Individual provider, active in the CMS NPPES registry since June 10, 2016.
## Identity
- **NPI:** 1255780102 (Entity type: Individual)
- **Enumerated:** June 10, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.012030 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 109 WHITE LN, APT 1, Minooka, IL 60447-9307
- **Phone:** (815) 955-9068
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Alliance Counseling & Coaching Of Illinois, PLLC (NPI 1063867257, Channahon, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 10, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1255780102) · Data from the CMS NPPES public registry.