SAMUEL WILLIAM CROUCH PLADC
NPI 1619452943
Counselor - Mental Health in Scottsbluff, NE

Q: What is Samuel Crouch's NPI number?

The NPI number for Samuel Crouch is 1619452943. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Samuel Crouch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Crouch was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 02, 2018PECOS Enrolled

921 W 36TH ST, SCOTTSBLUFF, NE 69361(308) 225-0500 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2019, Oct 2, 2018 (2 updates tracked since 2018).

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About Samuel William Crouch Pladc NPPES

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

SAMUEL WILLIAM CROUCH PLADC (NPI 1619452943) is an individual mental health provider in Scottsbluff, Nebraska, licensed in Nebraska (11806) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Scottsbluff.

NPPES Registry Identity

NPI1619452943

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSAMUEL WILLIAM CROUCHCredential: PLADC

Location Address921 W 36TH STScottsbluff, NE 69361-5009

Mailing Address921 W 36th StScottsbluff, NE 69361-5009 · (308) 225-0500

Phone(308) 225-0500

Sole ProprietorNo

Enumeration DateOctober 2, 2018

Last NPPES UpdateApril 30, 20192 updates tracked since enumeration

✔ NPI 1619452943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NE · 11806

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License P-1628 (NE)

921 W 36TH ST, Scottsbluff, NE 69361

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Secondary Practice Location 1

Location 11509 1st AveScottsbluff, NE 69361-3106 · Phone (308) 635-1488

Other Identifiers 1

Medicaid10026769300NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel William Crouch Pladc 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 Reassignment

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

Fulcrum Counseling Services, LLC

395 mi

Mental Health

11235 DAVENPORT ST STE 103H
Omaha, NE 68154

Reassigned Medicare billing, Nebraska enrollment

NPI 1215402151 (308) 225-0500

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

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

DR. MARK A. WITTLER D.C.

Chiropractor

921 W 36TH ST
SCOTTSBLUFF, NE 69361

Scotts Bluff County (308) 635-3001

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 Crouch's NPI number?

The NPI number for Samuel Crouch is 1619452943. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Samuel Crouch located?

Samuel Crouch practices at 921 W 36th St, Scottsbluff, NE 69361. The listed phone number is (308) 225-0500.

What is Samuel Crouch's specialty?

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

Is Samuel Crouch enrolled in Medicare?

Yes. Samuel Crouch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Crouch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Crouch reassigns Medicare benefits to Fulcrum Counseling Services, LLC (Omaha, NE). 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 Samuel Crouch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Crouch accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Samuel Crouch 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 Samuel Crouch was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.