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SAMANTHA KISSIG
NPI 1558710087
Counselor in Willoughby Hills, OH

Active since June 06, 2016PECOS Enrolled
34950 CHARDON RD STE 210, WILLOUGHBY HILLS, OH 44094(216) 505-9536 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Kissig NPPES

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

SAMANTHA KISSIG (NPI 1558710087) is an individual counselor in Willoughby Hills, Ohio and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558710087
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA KISSIG
Location Address34950 CHARDON RD STE 210Willoughby Hills, OH 44094-9162
Mailing Address34950 Chardon Rd Ste 210Willoughby Hills, OH 44094-9162 · (440) 596-9862
Phone(216) 505-9536
Sole ProprietorNo
Enumeration DateJune 6, 2016
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1558710087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License I.2102575-SUPV (OH)
34950 CHARDON RD STE 210, Willoughby Hills, OH 44094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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 Kissig is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Samantha Kissig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jnr Behavioral Therapy & Mediation Services
Same address
Mental Health
34950 CHARDON RD STE 210
Willoughby Hills, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1033629340 (440) 571-4499
Crossroads Health
8.9 mi
Federally Qualified Health Center (FQHC)
9220 MENTOR AVE
Mentor, OH 44060
  • Reassigned Medicare billing, Ohio enrollment
  • 34 clinicians in this Medicare group
NPI 1093307654 (440) 354-9924

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 4

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

JNR BEHAVIORAL THERAPY & MEDIATION SERVICES
Counselor (Mental Health)
34950 CHARDON RD STE 210
WILLOUGHBY HILLS, OH 44094
Lake County (440) 571-4499
MRS. SOPHIA RUTH MAE PEARSON MSW,LSW
Social Worker (Clinical)
34950 CHARDON RD STE 210
WILLOUGHBY HILLS, OH 44094
Lake County (440) 299-7829
MRS. JENNIFER N RAUZAN L.P.C.C.
Counselor (Mental Health)
34950 CHARDON RD STE 210
WILLOUGHBY HILLS, OH 44094
Lake County (440) 571-4499
EN POINTE BEHAVIORAL SERVICES LLC
Social Worker
34950 CHARDON RD STE 210
WILLOUGHBY HILLS, OH 44094
Lake County (216) 269-9577

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 Kissig's NPI number?

The NPI number for Samantha Kissig is 1558710087. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Samantha Kissig located?

Samantha Kissig practices at 34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094. The listed phone number is (216) 505-9536.

What is Samantha Kissig's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samantha Kissig enrolled in Medicare?

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

Which organizations bill Medicare for Samantha Kissig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kissig reassigns Medicare benefits to 2 organizations: Jnr Behavioral Therapy & Mediation Services (Willoughby Hills, OH) and Crossroads Health (Mentor, OH). Each 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 Kissig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Kissig accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Samantha Kissig 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 Kissig was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.