SAMANTHA SHARP LPC-S
NPI 1477763126
Counselor - Mental Health in Wynne, AR
About Samantha Sharp Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA SHARP LPC-S (NPI 1477763126) is an individual mental health provider in Wynne, Arkansas, licensed in Arkansas (A0509071) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Sharp Lpc-s 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Sharp reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wynne, AR 72396
- Reassigned Medicare billing, Arkansas enrollment
- 26 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 36 clinicians in this Medicare group
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sharp's NPI number?
The NPI number for Samantha Sharp is 1477763126. It was assigned to this individual provider in the NPPES registry on May 23, 2007.
Where is Samantha Sharp located?
Samantha Sharp practices at 1200 Bridges Ave E, Wynne, AR 72396. The listed phone number is (501) 737-4320.
What is Samantha Sharp's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samantha Sharp enrolled in Medicare?
Yes. Samantha Sharp 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.
Which organizations bill Medicare for Samantha Sharp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Sharp reassigns Medicare benefits to 2 organizations: Changes Behavioral Health, LLC (Wynne, AR) and Arkansas Baptist Children's Homes And Family Ministries (Little Rock, AR). Each 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 Sharp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Sharp accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Samantha Sharp 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 Sharp was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Samantha Sharp, LPC-S · NPI 1477763126
Mental Health provider in Wynne, Arkansas. Individual provider, active in the CMS NPPES registry since May 23, 2007.
## Identity
- **NPI:** 1477763126 (Entity type: Individual)
- **Enumerated:** May 23, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** A0509071 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 BRIDGES AVE E, Wynne, AR 72396-2449
- **Phone:** (501) 737-4320 · **Fax:** (870) 770-7177
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Changes Behavioral Health, LLC (NPI 1114260486, Wynne, AR); Arkansas Baptist Children's Homes And Family Ministries (NPI 1972159267, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 5, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1477763126) · Data from the CMS NPPES public registry.