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SAMANTHA GONZALEZ LCSW
NPI 1265164776
Counselor - Mental Health in Tucker, GA

Active since June 24, 2022PECOS Enrolled
2298 BROCKETT RD, TUCKER, GA 30084(706) 425-8900 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Gonzalez Lcsw NPPES

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

SAMANTHA GONZALEZ LCSW (NPI 1265164776) is an individual mental health provider in Tucker, Georgia and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265164776
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA GONZALEZCredential: LCSW
Location Address2298 BROCKETT RDTucker, GA 30084-4414
Mailing Address1 Huntington Rd Ste 703Athens, GA 30606-7214 · (706) 425-8900
Phone(706) 425-8900
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 24, 2022
Last NPPES UpdateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1265164776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2298 BROCKETT RD, Tucker, GA 30084
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Nouri

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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 Gonzalez Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648759050
PECOS Enrollment IDI20260205004013
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 6

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

KACIE DENTLEEGRAND
Counselor (Professional)
2298 BROCKETT RD
TUCKER, GA 30084
Dekalb County (706) 425-8900
KAELA JACKSON LAMFT
Counselor (Mental Health)
2298 BROCKETT RD
TUCKER, GA 30084
Dekalb County (706) 425-8900
MERRIUM STIDHAM LMSW
Counselor (Mental Health)
2298 BROCKETT RD
TUCKER, GA 30084
Dekalb County (706) 425-8900
MS. LAURA L. MIKA LMSW
Social Worker
2298 BROCKETT RD
TUCKER, GA 30084
Dekalb County (706) 425-8900
ZYEISHA BERRY LAPC
Counselor (Professional)
2298 BROCKETT RD
TUCKER, GA 30084
Dekalb County (706) 425-8900
MASHFIA AHMED
Social Worker
2298 BROCKETT RD
TUCKER, GA 30084
Dekalb County (706) 425-8900

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 Gonzalez's NPI number?

The NPI number for Samantha Gonzalez is 1265164776. It was assigned to this individual provider in the NPPES registry on June 24, 2022. The provider is also known as Samantha Nouri.

Where is Samantha Gonzalez located?

Samantha Gonzalez practices at 2298 Brockett Rd, Tucker, GA 30084. The listed phone number is (706) 425-8900.

What is Samantha Gonzalez's specialty?

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

Is Samantha Gonzalez enrolled in Medicare?

Yes. Samantha Gonzalez is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Gonzalez accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Samantha Gonzalez 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 Samantha Gonzalez was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.