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SAMANTHA KLUNK LCPC
NPI 1316327786
Counselor - Mental Health in Annapolis, MD

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment
102 OLD SOLOMONS ISLAND RD STE 202, ANNAPOLIS, MD 21401(410) 266-3058 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Klunk Lcpc NPPES

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

SAMANTHA KLUNK LCPC (NPI 1316327786) is an individual mental health provider in Annapolis, Maryland, licensed in Maryland (LC7839) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2014).

NPPES Registry Identity

NPI1316327786
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA KLUNKCredential: LCPC
Location Address102 OLD SOLOMONS ISLAND RD STE 202Annapolis, MD 21401-3879
Mailing Address102 Old Solomons Island Rd Ste 202Annapolis, MD 21401-3879 · (410) 266-3058 · Fax (410) 266-3257
Phone(410) 266-3058
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2014
Enumeration DateJune 1, 2015
Last NPPES UpdateFebruary 26, 2018
✔ NPI 1316327786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC7839
102 OLD SOLOMONS ISLAND RD STE 202, Annapolis, MD 21401
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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

Samantha Klunk Lcpc 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 ID8325514631
PECOS Enrollment IDI20260415001196
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 Samantha Klunk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fore Counselling Health Centre
23 mi
Rehabilitation, Substance Use Disorder
1010 PARK AVE STE 103
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 6 clinicians in this Medicare group
NPI 1467136606 (301) 357-4053

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 5

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

DR. JOHN WIRTH MS, PHD
Counselor (Mental Health)
102 OLD SOLOMONS ISLAND RD STE 202
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-3058
JEANNE GAYLE GARRETT LGPC
Counselor (Professional)
102 OLD SOLOMONS ISLAND RD STE 202
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-3058
MARGARET F MILLER LCPC
Counselor (Mental Health)
102 OLD SOLOMONS ISLAND RD STE 202
ANNAPOLIS, MD 21401
Anne Arundel County (443) 333-9135
MS. TRACI JEAN BRAUTIGAN LMSW, LGADC
Social Worker (Clinical)
102 OLD SOLOMONS ISLAND RD STE 202
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-3058
SEAN LYNCH
Social Worker
102 OLD SOLOMONS ISLAND RD STE 202
ANNAPOLIS, MD 21401
Anne Arundel County (410) 266-3058

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 Klunk's NPI number?

The NPI number for Samantha Klunk is 1316327786. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Samantha Klunk located?

Samantha Klunk practices at 102 Old Solomons Island Rd Ste 202, Annapolis, MD 21401. The listed phone number is (410) 266-3058.

What is Samantha Klunk's specialty?

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

Is Samantha Klunk enrolled in Medicare?

Yes. Samantha Klunk 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 Klunk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Klunk reassigns Medicare benefits to Fore Counselling Health Centre (Baltimore, MD). 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 Klunk'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 Klunk was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.