SAMANTHA DIVIETRO
NPI 1497263131
Counselor - Mental Health in Poughkeepsie, NY

Q: What is Samantha Divietro's NPI number?

The NPI number for Samantha Divietro is 1497263131. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Q: What is Samantha Divietro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Divietro was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 16, 2018PECOS EnrolledAccepts Medicare Assignment

230 NORTH RD, POUGHKEEPSIE, NY 12601(845) 486-2703(845) 625-1679 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2023, Jan 16, 2018 (2 updates tracked since 2018).

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About Samantha Divietro NPPES

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

SAMANTHA DIVIETRO (NPI 1497263131) is an individual mental health provider in Poughkeepsie, New York, licensed in New York (009481-01) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497263131

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSAMANTHA DIVIETRO

Location Address230 NORTH RDPoughkeepsie, NY 12601-1328

Mailing Address230 North RdPoughkeepsie, NY 12601-1328 · (845) 486-2703 · Fax (845) 625-1679

Phone(845) 486-2703

Fax(845) 625-1679

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 16, 2018

Last NPPES UpdateMay 22, 20232 updates tracked since enumeration

NPPES CertifiedMay 22, 2023

✔ NPI 1497263131 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 in NY · 009481-01

230 NORTH RD, Poughkeepsie, NY 12601

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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 Divietro 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 ID2163954298

PECOS Enrollment IDI20241015001069

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.

MRS. MELEAH DEMENT LMHC

Counselor (Mental Health)