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

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: October 18, 2026.

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

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Divietro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverview Psychiatric Medicine PC
1.8 mi
Adult Mental Health
370 VIOLET AVE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1174789812 (845) 471-1807

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.

MRS. MELEAH DEMENT LMHC
Counselor (Mental Health)
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 486-2850
MS. KAREN PAYNE WHITTON LCSW
Social Worker (Clinical)
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 485-9700
SUSAN M. HAIGHT RN
Registered Nurse (Psychiatric/Mental Health)
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 485-9700
THOMAS P QUINN LCSW
Social Worker (Clinical)
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 486-2703
BARBARA LARA
Counselor (Addiction (Substance Use Disorder))
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 485-9700
KALEIGH ACQUAH LMSW
Counselor (Addiction (Substance Use Disorder))
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 486-3683
SAMUEL GRUBB
Peer Specialist
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 452-2728
MRS. JANICE MARIE HEATH RN
Registered Nurse (Addiction (Substance Use Disorder))
230 NORTH RD
POUGHKEEPSIE, NY 12601
Dutchess County (845) 486-2850

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 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.

Where is Samantha Divietro located?

Samantha Divietro practices at 230 North Rd, Poughkeepsie, NY 12601. The listed phone number is (845) 486-2703.

What is Samantha Divietro's specialty?

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

Is Samantha Divietro enrolled in Medicare?

Yes. Samantha Divietro 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 organization bills Medicare for Samantha Divietro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Divietro reassigns Medicare benefits to Riverview Psychiatric Medicine PC (Poughkeepsie, 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 Divietro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Divietro accept?

Health plans from Oscar Health list Samantha Divietro 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 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.