SAMANTHA M KINGREY LMHC
NPI 1477052512
Counselor - Mental Health in Saranac Lake, NY

Active since February 05, 2018PECOS EnrolledAccepts Medicare Assignment
70 EDGEWOOD RD, SARANAC LAKE, NY 12983(518) 891-5535 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Mar 8, 2026 (2 updates tracked since 2026).

About Samantha M Kingrey Lmhc NPPES

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

SAMANTHA M KINGREY LMHC (NPI 1477052512) is an individual mental health provider in Saranac Lake, New York and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1477052512
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA M KINGREYCredential: LMHC
Location Address70 EDGEWOOD RDSaranac Lake, NY 12983-1537
Mailing AddressPo Box 175Gabriels, NY 12939-0175
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 5, 2018
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1477052512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
70 EDGEWOOD RD, Saranac Lake, NY 12983

Other Names 1

Former Name (1)Samantha M Burgess Lmhc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha M Kingrey Lmhc 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 ID5092167924
PECOS Enrollment IDI20240117000149
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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Adult Companion
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Registered Nurse (Psychiatric/Mental Health)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Case Manager/Care Coordinator
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Social Worker (Clinical)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Case Manager/Care Coordinator
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Licensed Practical Nurse
70 EDGEWOOD RD
SARANAC LAKE, NY 12983
Social Worker (Clinical)
70 EDGEWOOD RD
SARANAC LAKE, NY 12983

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 Kingrey's NPI number?

The NPI number for Samantha Kingrey is 1477052512. It was assigned to this individual provider in the NPPES registry on February 5, 2018. The provider is also known as Samantha M Burgess Lmhc.

Where is Samantha Kingrey located?

Samantha Kingrey practices at 70 Edgewood Rd, Saranac Lake, NY 12983. The listed phone number is (518) 891-5535.

What is Samantha Kingrey's specialty?

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

Is Samantha Kingrey enrolled in Medicare?

Yes. Samantha Kingrey 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.

When was this NPI record last updated?

The NPPES record for Samantha Kingrey was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.