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SAMANTHA MARIE AMEND
NPI 1376011734
Counselor - Professional in Bel Air, MD

Active since November 05, 2018Opted out of Medicare · through Apr 17, 2028
139 N MAIN ST STE 308, BEL AIR, MD 21014(443) 987-6190 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2022, Nov 5, 2018 (2 updates tracked since 2018).

About Samantha Marie Amend NPPES

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

SAMANTHA MARIE AMEND (NPI 1376011734) is an individual professional provider in Bel Air, Maryland, licensed in Maryland (LC10107) and active in the NPI registry since November 2018. She has opted out of Medicare through April 17, 2028.

NPPES Registry Identity

NPI1376011734
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA MARIE AMEND
Location Address139 N MAIN ST STE 308Bel Air, MD 21014-8808
Mailing Address612 E Macphail RdBel Air, MD 21014-4414 · (443) 632-7667
Phone(443) 987-6190
Sole ProprietorNo
Enumeration DateNovember 5, 2018
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1376011734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC10107
139 N MAIN ST STE 308, Bel Air, MD 21014
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samantha Marie Amend has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 17, 2024 through April 17, 2028.

Opt-Out Effective DateApril 17, 2024
Opt-Out In Effect ThroughApril 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Amend's NPI number?

The NPI number for Samantha Amend is 1376011734. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Samantha Amend located?

Samantha Amend practices at 139 N Main St Ste 308, Bel Air, MD 21014. The listed phone number is (443) 987-6190.

What is Samantha Amend's specialty?

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

Is Samantha Amend enrolled in Medicare?

No. Samantha Amend has opted out of Medicare through April 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Amend was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.