SAMANTHA SETZER SULT LPCA
NPI 1427212448
Counselor in Charlotte, NC

Q: What is Samantha Sult's NPI number?

The NPI number for Samantha Sult is 1427212448. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Q: What is Samantha Sult's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Samantha Sult enrolled in Medicare?

No. Samantha Sult has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samantha Sult was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 18, 2008Opted out of Medicare · through Jan 18, 2028

6412 BANNINGTON RD, CHARLOTTE, NC 28226(704) 996-0263 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samantha Setzer Sult Lpca NPPES

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

SAMANTHA SETZER SULT LPCA (NPI 1427212448) is an individual counselor in Charlotte, North Carolina, licensed in North Carolina (A8732) and active in the NPI registry since July 2008. She has opted out of Medicare through January 18, 2028.

NPPES Registry Identity

NPI1427212448

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSAMANTHA SETZER SULTCredential: LPCA

Location Address6412 BANNINGTON RDCharlotte, NC 28226-1327

Mailing Address955 Lynnview CtKannapolis, NC 28081-5782

Phone(704) 996-0263

Sole ProprietorNo

Enumeration DateJuly 18, 2008

Last NPPES UpdateJanuary 17, 2012

✔ NPI 1427212448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NC · A8732

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6412 BANNINGTON RD, Charlotte, NC 28226

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 Setzer Sult Lpca 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 January 18, 2024 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2024

Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

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