SAMANTHA COLEY MA, LCHMC, LPC
NPI 1619521325
Counselor - Mental Health in Salem, OR
About Samantha Coley Ma, Lchmc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA COLEY MA, LCHMC, LPC (NPI 1619521325) is an individual mental health provider in Salem, Oregon, licensed in Oregon (C7274) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Coley Ma, Lchmc, Lpc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Samantha Coley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Oregon enrollment
- 234 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, California enrollment
- 97 clinicians in this Medicare group
New York, NY 10025
- Reassigned Medicare billing, North Carolina, Oregon and West Virginia enrollments
- 29 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Coley's NPI number?
The NPI number for Samantha Coley is 1619521325. It was assigned to this individual provider in the NPPES registry on July 31, 2019. The provider is also known as Samantha Beckelhimer Ma, Lcmhc, Lpc.
Where is Samantha Coley located?
Samantha Coley practices at 2355 State St Ste 101, Salem, OR 97301. The listed phone number is (503) 967-5654.
What is Samantha Coley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samantha Coley enrolled in Medicare?
Yes. Samantha Coley 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.
Which organizations bill Medicare for Samantha Coley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Coley reassigns Medicare benefits to 3 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA), Talkspace Provider Network Ca PC (New York, NY) and Talkspace Provider Network PA (New York, NY). 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 Coley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Coley accept?
Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and UnitedHealthcare list Samantha Coley 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 Coley was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samantha Coley, MA, LCHMC, LPC · NPI 1619521325
Mental Health provider in Salem, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2019.
## Identity
- **NPI:** 1619521325 (Entity type: Individual)
- **Enumerated:** July 31, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C7274 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2355 STATE ST STE 101, Salem, OR 97301-4541
- **Phone:** (503) 967-5654
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA); Talkspace Provider Network Ca PC (NPI 1003506866, New York, NY); Talkspace Provider Network PA (NPI 1639814049, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619521325) · Data from the CMS NPPES public registry.