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SAMANTHA ARK
NPI 1467194555
Counselor - Mental Health in Brooklyn, NY

Active since April 10, 2022PECOS Enrolled
1623 KINGS HWY, BROOKLYN, NY 11229(718) 954-3800 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Ark NPPES

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

SAMANTHA ARK (NPI 1467194555) is an individual mental health provider in Brooklyn, New York, licensed in (0) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467194555
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA ARK
Location Address1623 KINGS HWYBrooklyn, NY 11229-1209
Mailing Address1623 Kings HwyBrooklyn, NY 11229-1209
Phone(718) 954-3800
Sole ProprietorNo
Enumeration DateApril 10, 2022
NPPES CertifiedApril 10, 2022
✔ NPI 1467194555 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 · 0
1623 KINGS HWY, Brooklyn, NY 11229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Ark 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 Samantha Ark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.
Same address
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200

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.

ANASTASIYA ABRAMOV LMSW
Social Worker
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 375-1200
BRENDA GOTTESMAN
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
SHEINA SCHOCHET MHC
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
ELIANA SIMON
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
LESLIE CAMPBELL MHC
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
YULIYA MURASHOVA
Social Worker (Clinical)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
ROMA S DUNBAR PEER ADVOCATE
Peer Specialist
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (929) 273-7601
AALIYAH SCOTT LMSW
Social Worker
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (929) 273-7601

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 Ark's NPI number?

The NPI number for Samantha Ark is 1467194555. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Samantha Ark located?

Samantha Ark practices at 1623 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (718) 954-3800.

What is Samantha Ark's specialty?

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

Is Samantha Ark enrolled in Medicare?

Yes. Samantha Ark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Ark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ark reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY). 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 Ark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Ark accept?

Health plans from MedMutual list Samantha Ark 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 Ark was last updated on April 10, 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.