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SAMANTHA ASHLEY ROMAN MSW
NPI 1659965432
Counselor in Worcester, MA

Active since February 23, 2021PECOS Enrolled
411 CHANDLER ST, WORCESTER, MA 01602(508) 799-0688 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Ashley Roman Msw NPPES

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

SAMANTHA ASHLEY ROMAN MSW (NPI 1659965432) is an individual counselor in Worcester, Massachusetts and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659965432
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA ASHLEY ROMANCredential: MSW
Location Address411 CHANDLER STWorcester, MA 01602-3339
Mailing Address14 Tobin DrDudley, MA 01571-6165 · (774) 701-1926
Phone(508) 799-0688
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1659965432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
411 CHANDLER ST, Worcester, MA 01602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Ashley Roman Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456820257
PECOS Enrollment IDI20260520003369
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 Roman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,232 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Massachusetts enrollment
  • 522 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

ARIELLA EMMANUEL
Counselor (Mental Health)
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (617) 678-7267
MRS. KERRI RYDER PMHCNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Adolescent)
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
JULIE JUNG
Counselor (Mental Health)
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (774) 823-3600
MRS. SHIVANI PEREIRA NP, MSN
Nurse Practitioner
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 471-5600
MEGAN ELIZABETH YEO LMHC
Community/Behavioral Health
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
MITRA MALEKAFZALY
Counselor
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
FLAVIA COLLETTA LWASA
Nurse Practitioner
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688
RACHAEL NALL
Counselor
411 CHANDLER ST
WORCESTER, MA 01602
Worcester County (508) 799-0688

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 Roman's NPI number?

The NPI number for Samantha Roman is 1659965432. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Samantha Roman located?

Samantha Roman practices at 411 Chandler St, Worcester, MA 01602. The listed phone number is (508) 799-0688.

What is Samantha Roman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samantha Roman enrolled in Medicare?

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

Which organization bills Medicare for Samantha Roman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Roman reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Roman accept?

Health plans from Harvard Pilgrim Health Care list Samantha Roman 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 Roman was last updated on February 23, 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.