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SAMANTHA KELLY LPC
NPI 1528817947
Counselor - Professional in Bethlehem, PA

Active since May 16, 2024PECOS Enrolled
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017(484) 884-2485(484) 884-2603 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Kelly Lpc NPPES

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

SAMANTHA KELLY LPC (NPI 1528817947) is an individual professional provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (P016717) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528817947
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA KELLYCredential: LPC
Location Address2545 SCHOENERSVILLE RDBethlehem, PA 18017-7300
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500 · Fax (484) 884-0699
Phone(484) 884-2485
Fax(484) 884-2603
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 16, 2024
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1528817947 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 PA · P016717
2545 SCHOENERSVILLE RD, Bethlehem, PA 18017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Kelly Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830663566
PECOS Enrollment IDI20260703000657
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 Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lehigh Valley Physician Group
Same address
Psychiatry
2545 SCHOENERSVILLE RD, 5TH FLOOR
Bethlehem, PA 18017
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1164666376 (484) 884-6503

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.

STEPHANIE A. COHRAC DO
Emergency Medicine
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (484) 884-2888
ARMANDEEP SINGH GHUMAN MD
Hospitalist
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (484) 884-9677
CHRISTINE M GABRIELLE CRNP
Nurse Practitioner (Family)
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (484) 884-9677
MICHAEL WONG MD
Emergency Medicine
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (610) 751-8253
AMANDA BLAIR STONE RD
Dietitian, Registered
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (215) 262-5490
GONZALO PIMENTEL MD
Internal Medicine
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (484) 884-9677
JEFFREY FAIDLEY MD
Hospitalist
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (484) 884-9677
PHILLIP GRENZ
Emergency Medicine
2545 SCHOENERSVILLE RD
BETHLEHEM, PA 18017
Northampton County (484) 884-2489

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 Kelly's NPI number?

The NPI number for Samantha Kelly is 1528817947. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Samantha Kelly located?

Samantha Kelly practices at 2545 Schoenersville Rd, Bethlehem, PA 18017. The listed phone number is (484) 884-2485.

What is Samantha Kelly's specialty?

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

Is Samantha Kelly enrolled in Medicare?

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

Which organization bills Medicare for Samantha Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kelly reassigns Medicare benefits to Lehigh Valley Physician Group (Bethlehem, PA). 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 Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Kelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Samantha Kelly 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 Kelly was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.