MISS SAMANTHA LAUREN PENEDOS LPC, ATR
NPI 1659952604
Counselor - Professional in Greentown, PA

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
177 TIMBER TRL, GREENTOWN, PA 18426(610) 823-3185 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2025, Apr 20, 2021 (2 updates tracked since 2021).

About Miss Samantha Lauren Penedos Lpc, Atr NPPES

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

MISS SAMANTHA LAUREN PENEDOS LPC, ATR (NPI 1659952604) is an individual professional provider in Greentown, Pennsylvania, licensed in Pennsylvania (PC013187) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659952604
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS SAMANTHA LAUREN PENEDOSCredential: LPC, ATR
Location Address177 TIMBER TRLGreentown, PA 18426-2552
Mailing Address177 Timber TrlGreentown, PA 18426-2552 · (610) 823-3185
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 20, 2021
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1659952604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC013187
177 TIMBER TRL, Greentown, PA 18426

Other Names 1

Former Name (1)Samantha Lauren Blanchard

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

Miss Samantha Lauren Penedos Lpc, Atr 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 ID1254776073
PECOS Enrollment IDI20240301002656
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 Penedos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
228 S MAIN AVE
Scranton, PA 18504
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 30 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.

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 Penedos's NPI number?

The NPI number for Samantha Penedos is 1659952604. It was assigned to this individual provider in the NPPES registry on April 20, 2021. The provider is also known as Samantha Lauren Blanchard.

Where is Samantha Penedos located?

Samantha Penedos practices at 177 Timber Trl, Greentown, PA 18426. The listed phone number is (610) 823-3185.

What is Samantha Penedos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Penedos enrolled in Medicare?

Yes. Samantha Penedos 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 Penedos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Penedos reassigns Medicare benefits to Thaxton Holistic Wellness Center (Scranton, PA). 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 Penedos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Penedos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Samantha Penedos 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 Penedos was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.