SAMANTHA JO DEVINE MA, LMFT
NPI 1669021457
Marriage & Family Therapist in Fenton, MO

Q: What is Samantha Devine's NPI number?

The NPI number for Samantha Devine is 1669021457. It was assigned to this individual provider in the NPPES registry on September 5, 2019. The provider is also known as Samantha Jo Forehand.

Q: What is Samantha Devine's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Devine was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 05, 2019PECOS Enrolled

5 PREMIER DR STE 200, FENTON, MO 63026(314) 544-3800 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Jan 10, 2020, Sep 5, 2019 (3 updates tracked since 2019).

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About Samantha Jo Devine Ma, Lmft NPPES

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

SAMANTHA JO DEVINE MA, LMFT (NPI 1669021457) is an individual marriage & family therapist in Fenton, Missouri, licensed in Missouri (2017026551) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669021457

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSAMANTHA JO DEVINECredential: MA, LMFT

Location Address5 PREMIER DR STE 200Fenton, MO 63026-2943

Mailing Address5 Premier Dr Ste 200Fenton, MO 63026-2943 · (314) 544-3800

Phone(314) 544-3800

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1669021457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MO · 2017026551

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5 PREMIER DR STE 200, Fenton, MO 63026

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Other Names 1

Former Name (1)Samantha Jo Forehand

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Jo Devine Ma, Lmft 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.

Other Providers at the Same Location NPPES 8

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

MRS. KRISTEN ALTHEA HOOD LCSW

Social Worker (Clinical)