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SAMANTHA WATHEN
NPI 1629426754
Counselor - Mental Health in Raleigh, NC

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
8512 SIX FORKS RD STE 101, RALEIGH, NC 27615(919) 277-0253 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2021, Mar 17, 2018, Oct 30, 2017 (3 updates tracked since 2017).

About Samantha Wathen NPPES

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

SAMANTHA WATHEN (NPI 1629426754) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (13506) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bowling Green, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629426754
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA WATHEN
Location Address8512 SIX FORKS RD STE 101Raleigh, NC 27615-3256
Mailing Address211 Loft Ln Apt 94Raleigh, NC 27609-3887 · (919) 609-0123
Phone(919) 277-0253
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 31, 2016
Last NPPES UpdateApril 2, 20213 updates tracked since enumeration
NPPES CertifiedApril 2, 2021
✔ NPI 1629426754 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
Licenses✔ Licensed in NC · 13506✔ Licensed in NC · A13506
Also ListedCounselorTaxonomy 101Y00000X
8512 SIX FORKS RD STE 101, Raleigh, NC 27615
Open in Google Maps ↗

Secondary Practice Location 1

Location 1380 Suwannee Trail StBowling Green, KY 42103-7956 · Phone (270) 901-5000 · Fax (270) 842-5268

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.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 Wathen 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.

PECOS PAC ID8325499353
PECOS Enrollment IDI20240104000059
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 Wathen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindly Group, PLLC
0.1 mi
Community/Behavioral Health
8406 SIX FORKS RD, SUITE 204
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1306196944 (919) 617-9656

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 15

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

NATALIE SUE BORTO LCMHC
Counselor (Mental Health)
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 277-0253
MELINDA LEE BROWN MD
Psychiatry & Neurology (Psychiatry)
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 277-0253
MR. TROY TAYLOR KANE LCMHCS
Counselor (Professional)
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 277-0253
MR. KYLE PATRICK FLANNELLY MSW, LCSWA
Social Worker (Clinical)
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 227-0253
MRS. CANDICE RACHEL SMITH LPCA
Counselor
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 464-7398
TRIANGLE COUNSELING AGENCY INC.
Community/Behavioral Health
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 277-0253
MS. BETH MANNS LCSWA
Social Worker (Clinical)
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 277-0253
MRS. KATHY GLOVER HOULIHAN MA., NCC, LPC
Counselor (Mental Health)
8512 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 277-0253

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 Wathen's NPI number?

The NPI number for Samantha Wathen is 1629426754. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Samantha Wathen located?

Samantha Wathen practices at 8512 Six Forks Rd Ste 101, Raleigh, NC 27615. The listed phone number is (919) 277-0253.

What is Samantha Wathen's specialty?

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

Is Samantha Wathen enrolled in Medicare?

Yes. Samantha Wathen 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 organization bills Medicare for Samantha Wathen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wathen reassigns Medicare benefits to Mindly Group, PLLC (Raleigh, NC). 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 Wathen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Wathen accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Samantha Wathen 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 Wathen was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.