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SAMUEL J DECK LPC
NPI 1356048375
Counselor - Professional in Siloam Springs, AR

Active since February 09, 2023PECOS Enrolled
710 S HOLLY ST, SILOAM SPRINGS, AR 72761(479) 524-8618 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samuel J Deck Lpc NPPES

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

SAMUEL J DECK LPC (NPI 1356048375) is an individual professional provider in Siloam Springs, Arkansas, licensed in Arkansas (P2504009) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356048375
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL J DECKCredential: LPC
Location Address710 S HOLLY STSiloam Springs, AR 72761-3304
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020
Phone(479) 524-8618
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
✔ NPI 1356048375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2504009
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
710 S HOLLY ST, Siloam Springs, AR 72761
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel J Deck Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Deck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ozark Guidance Center, Inc
21 mi
Community/Behavioral Health
2400 S. 48TH STREET
Springdale, AR 72762
  • Reassigned Medicare billing, Arkansas enrollment
  • 75 clinicians in this Medicare group
NPI 1609875186 (479) 750-2020

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 20

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

POIEMA EVANS
Counselor (Mental Health)
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 524-8618
LANEY RAE AMOS
Case Manager/Care Coordinator
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 524-8618
NICHOLAS REVAN OWENS
Case Manager/Care Coordinator
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 524-8618
AMANDA JANE SMART LPC
Counselor (Professional)
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 524-8618
VICRORIA LYNN SULLIVAN LPC
Counselor (Professional)
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 750-2020
SADIE M RIVAS
Case Manager/Care Coordinator
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 524-8618
ELISABETH MICHELLE EVANS LAC
Counselor (Mental Health)
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 524-8618
CHARLES MATTHEW PLUMMER LCSW
Social Worker (Clinical)
710 S HOLLY ST
SILOAM SPRINGS, AR 72761
Benton County (479) 750-2020

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 Samuel Deck's NPI number?

The NPI number for Samuel Deck is 1356048375. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Samuel Deck located?

Samuel Deck practices at 710 S Holly St, Siloam Springs, AR 72761. The listed phone number is (479) 524-8618.

What is Samuel Deck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samuel Deck enrolled in Medicare?

Yes. Samuel Deck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Deck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Deck reassigns Medicare benefits to Ozark Guidance Center, Inc (Springdale, AR). 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 Samuel Deck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Deck accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Samuel Deck 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 Samuel Deck was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.