SUPRITHA SAMPATH LPC
NPI 1669074860
Counselor - Professional in Cedar Park, TX

Active since November 12, 2020PECOS EnrolledAccepts Medicare Assignment
500 W WHITESTONE BLVD STE 105, CEDAR PARK, TX 78613(512) 859-5729 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2023, Nov 12, 2020 (2 updates tracked since 2020).

About Supritha Sampath Lpc NPPES

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

SUPRITHA SAMPATH LPC (NPI 1669074860) is an individual professional provider in Cedar Park, Texas, licensed in Texas (89306) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669074860
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUPRITHA SAMPATHCredential: LPC
Location Address500 W WHITESTONE BLVD STE 105Cedar Park, TX 78613-2271
Mailing Address500 W Whitestone Blvd Ste 105Cedar Park, TX 78613-2271 · (512) 859-5729
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 12, 2020
Last NPPES UpdateMay 28, 20242 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1669074860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 89306
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
500 W WHITESTONE BLVD STE 105, Cedar Park, TX 78613

Secondary Practice Locations 2

Location 13613 Williams Dr Ste 304Georgetown, TX 78628-1369 · Phone (512) 400-4247 ext. 6
Location 2500 W Whitestone Blvd Ste 105Cedar Park, TX 78613-2271 · Phone (512) 859-7529 · Fax (737) 252-5011

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

Supritha Sampath Lpc 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 ID5799229258
PECOS Enrollment IDI20240626001473
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 Reassignments

2

Medicare enrollment records show Supritha Sampath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
2006 S BAGDAD RD STE 130
Leander, TX 78641
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
551 S. IH 35, SUITE 200
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 211 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 Supritha Sampath's NPI number?

The NPI number for Supritha Sampath is 1669074860. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Supritha Sampath located?

Supritha Sampath practices at 500 W Whitestone Blvd Ste 105, Cedar Park, TX 78613. The listed phone number is (512) 859-5729.

What is Supritha Sampath's specialty?

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

Is Supritha Sampath enrolled in Medicare?

Yes. Supritha Sampath 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 organizations bill Medicare for Supritha Sampath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Supritha Sampath reassigns Medicare benefits to 2 organizations: Four Falls Cedar Park PLLC (Leander, TX) and Family Care Center LLC, (Round Rock, TX). Each 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 Supritha Sampath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Supritha Sampath accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Supritha Sampath 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 Supritha Sampath was last updated on May 28, 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.