SAMANTHA LYNN GORDON M. ED
NPI 1497560999
Counselor - Professional in Great Falls, MT

Active since February 11, 2025PECOS Enrolled
3360 10TH AVE S, GREAT FALLS, MT 59405(405) 563-8117 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Lynn Gordon M. Ed NPPES

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

SAMANTHA LYNN GORDON M. ED (NPI 1497560999) is an individual professional provider in Great Falls, Montana, licensed in Montana (BBH-LCPC-LIC-72706) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497560999
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA LYNN GORDONCredential: M. ED
Location Address3360 10TH AVE SGreat Falls, MT 59405-3451
Mailing Address603 Willow Creek CtGreat Falls, MT 59405-1315 · (928) 257-9877
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 11, 2025
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1497560999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MT · BBH-LCPC-LIC-72706
3360 10TH AVE S, Great Falls, MT 59405

Accepted 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 Lynn Gordon M. Ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406333012
PECOS Enrollment IDI20260123003417
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 Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

124 mi
Community/Behavioral Health
205 E PARK AVE
Anaconda, MT 59711
  • Reassigned Medicare billing, Montana enrollment
  • 75 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.

Behavior Analyst
3360 10TH AVE S
GREAT FALLS, MT 59405
Nurse Practitioner (Psychiatric/Mental Health)
3360 10TH AVE S
GREAT FALLS, MT 59405
Social Worker (Clinical)
3360 10TH AVE S
GREAT FALLS, MT 59405

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 Gordon's NPI number?

The NPI number for Samantha Gordon is 1497560999. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Samantha Gordon located?

Samantha Gordon practices at 3360 10th Ave S, Great Falls, MT 59405. The listed phone number is (405) 563-8117.

What is Samantha Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Gordon enrolled in Medicare?

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

Which organization bills Medicare for Samantha Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Gordon reassigns Medicare benefits to Aware Inc (Anaconda, MT). 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 Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Gordon accept?

Health plans from Blue Cross and Blue Shield of Montana list Samantha Gordon 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 Gordon was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.