MR. SAMUEL LEE M.S.
NPI 1508434440
Counselor - Mental Health in Frederick, MD

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
1003 W 7TH ST STE 403, FREDERICK, MD 21701(240) 586-9878 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Lee M.s. NPPES

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

MR. SAMUEL LEE M.S. (NPI 1508434440) is an individual mental health provider in Frederick, Maryland, licensed in Maryland (LGP9754) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508434440
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SAMUEL LEECredential: M.S.
Location Address1003 W 7TH ST STE 403Frederick, MD 21701-8532
Mailing Address3956 Braveheart CirFrederick, MD 21704-7743 · (240) 586-9878
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 16, 2021
NPPES CertifiedJune 16, 2021
NPI 1508434440 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 MD · LGP9754
1003 W 7TH ST STE 403, Frederick, MD 21701

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

Mr. Samuel Lee M.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.

PECOS PAC ID446691000
PECOS Enrollment IDI20240514000936
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
1003 W 7TH ST STE 403
FREDERICK, MD 21701
Social Worker (Clinical)
1003 W 7TH ST STE 403
FREDERICK, MD 21701
Counselor (Professional)
1003 W 7TH ST STE 403
FREDERICK, MD 21701
Counselor
1003 W 7TH ST STE 403
FREDERICK, MD 21701
Social Worker (Clinical)
1003 W 7TH ST STE 403
FREDERICK, MD 21701
Counselor (Professional)
1003 W 7TH ST STE 403
FREDERICK, MD 21701
Social Worker
1003 W 7TH ST STE 403
FREDERICK, MD 21701

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 Samuel Lee's NPI number?

The NPI number for Samuel Lee is 1508434440. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Samuel Lee located?

Samuel Lee practices at 1003 W 7th St Ste 403, Frederick, MD 21701. The listed phone number is (240) 586-9878.

What is Samuel Lee's specialty?

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

Is Samuel Lee enrolled in Medicare?

Yes. Samuel Lee 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 Samuel Lee was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.