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SAMANTHA RUSSELL-PORTE
NPI 1285351510
Marriage & Family Therapist in Jacksonville, NC

Active since October 26, 2022PECOS EnrolledAccepts Medicare Assignment
519 BLACK PEARL CIR, JACKSONVILLE, NC 28546(571) 535-4655 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Oct 26, 2022 (2 updates tracked since 2022).

About Samantha Russell-porte NPPES

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

SAMANTHA RUSSELL-PORTE (NPI 1285351510) is an individual marriage & family therapist in Jacksonville, North Carolina, licensed in Virginia (0717001958) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manassas, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285351510
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSAMANTHA RUSSELL-PORTE
Location Address519 BLACK PEARL CIRJacksonville, NC 28546-0157
Mailing Address519 Black Pearl CirJacksonville, NC 28546-0157
Phone(571) 535-4655
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 26, 2022
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1285351510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in VA · 0717001958
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
519 BLACK PEARL CIR, Jacksonville, NC 28546
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Secondary Practice Location 1

Location 19625 Surveyor Ct Ste 200Manassas, VA 20110-4408 · Phone (703) 574-8232

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Russell-porte 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 ID2365946738
PECOS Enrollment IDI20250918001932
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.

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 Russell-porte's NPI number?

The NPI number for Samantha Russell-porte is 1285351510. It was assigned to this individual provider in the NPPES registry on October 26, 2022.

Where is Samantha Russell-porte located?

Samantha Russell-porte practices at 519 Black Pearl Cir, Jacksonville, NC 28546. The listed phone number is (571) 535-4655.

What is Samantha Russell-porte's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Samantha Russell-porte enrolled in Medicare?

Yes. Samantha Russell-porte 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.

What insurance does Samantha Russell-porte accept?

Health plans from Providence Health Plan list Samantha Russell-porte 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 Russell-porte was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.