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MRS. SAMANTHA ANN SIMMONS LPCC, LCADC
NPI 1629123625
Counselor - Mental Health in Monticello, KY

Active since January 23, 2007PECOS Enrolled
80 ROLLING HILLS BLVD, MONTICELLO, KY 42633(066) 343-0216(606) 343-0224 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Samantha Ann Simmons Lpcc, Lcadc NPPES

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

MRS. SAMANTHA ANN SIMMONS LPCC, LCADC (NPI 1629123625) is an individual mental health provider in Monticello, Kentucky, licensed in Kentucky (834) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629123625
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SAMANTHA ANN SIMMONSCredential: LPCC, LCADC
Location Address80 ROLLING HILLS BLVDMonticello, KY 42633-9005
Mailing Address80 Rolling Hills BlvdMonticello, KY 42633-9005 · (606) 343-0216 · Fax (066) 343-0224
Phone(066) 343-0216
Fax(606) 343-0224
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateOctober 18, 2019
✔ NPI 1629123625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in KY · 834
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 166494 (KY)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 105683 (KY)
80 ROLLING HILLS BLVD, Monticello, KY 42633
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Ann Roberts

Other Identifiers 2

Medicaid30615058KY
Medicaid7100277600KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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)

Mrs. Samantha Ann Simmons Lpcc, Lcadc 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 Samantha Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foothills Academy, Inc.
Same address
Residential Treatment Facility, Emotionally Disturbed Children
80 ROLLING HILLS BLVD
Monticello, KY 42633
  • Reassigned Medicare billing, Kentucky enrollment
  • 9 clinicians in this Medicare group
NPI 1114291879 (606) 343-0216

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 12

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

LUCY NAMULEMO PHD, LPCC
Counselor (Mental Health)
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216
PRESLEY DANIELLE RICE LPCC
Counselor (Mental Health)
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216
FOOTHILLS ACADEMY, INC.
Residential Treatment Facility, Emotionally Disturbed Children
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216
BRENT ADAM REICHENBACH MA, LPCC, LCADC
Counselor (Professional)
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216
FOOTHILLS ACADEMY, INC
Clinic/Center (Multi-Specialty)
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216
WENDY PARNELL DENNEY LPCC
Counselor
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216
SANDRA ZAWALICK LCSW
Social Worker (Clinical)
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216
ERIN L GRIDER LPCC
Counselor (Professional)
80 ROLLING HILLS BLVD
MONTICELLO, KY 42633
Wayne County (606) 343-0216

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 Simmons's NPI number?

The NPI number for Samantha Simmons is 1629123625. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Samantha Ann Roberts.

Where is Samantha Simmons located?

Samantha Simmons practices at 80 Rolling Hills Blvd, Monticello, KY 42633. The listed phone number is (066) 343-0216.

What is Samantha Simmons's specialty?

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

Is Samantha Simmons enrolled in Medicare?

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

Which organization bills Medicare for Samantha Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Simmons reassigns Medicare benefits to Foothills Academy, Inc. (Monticello, KY). 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 Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Simmons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Samantha Simmons 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 Simmons was last updated on October 18, 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.