MS. SAMANTHA ALLISON MANDEL LPC
NPI 1679097091
Counselor - Professional in Portland, OR

Q: What is Samantha Mandel's NPI number?

The NPI number for Samantha Mandel is 1679097091. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Q: What is Samantha Mandel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Mandel was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 27, 2017PECOS Enrolled

7704 N HEREFORD AVE, PORTLAND, OR 97203(971) 319-4827(503) 662-6221 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Jan 11, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Ms. Samantha Allison Mandel Lpc NPPES

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

MS. SAMANTHA ALLISON MANDEL LPC (NPI 1679097091) is an individual professional provider in Portland, Oregon, licensed in Oregon (C6304) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679097091

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. SAMANTHA ALLISON MANDELCredential: LPC

Location Address7704 N HEREFORD AVEPortland, OR 97203-3434

Mailing Address9133 N Allegheny AvePortland, OR 97203-2303 · (971) 319-4827

Phone(971) 319-4827

Fax(503) 662-6221

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 27, 2017

Last NPPES UpdateMarch 25, 20264 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1679097091 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 OR · C6304

7704 N HEREFORD AVE, Portland, OR 97203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans 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)

Ms. Samantha Allison Mandel Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214406107

PECOS Enrollment IDI20260520002502

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 9

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

SPROUT THERAPY PDX LLC

Counselor