MRS. SAMANTHA LEE SHERY LPC - NPI 1679271415

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Mrs. Samantha Lee Shery Lpc NPPES

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

MRS. SAMANTHA LEE SHERY LPC (NPI 1679271415) is an individual mental health provider in Hoboken, New Jersey, licensed in New Jersey (37PC01228500) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679271415

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. SAMANTHA LEE SHERYCredential: LPC

Location Address506 3RD STHoboken, NJ 07030-1970

Mailing Address506 3rd StHoboken, NJ 07030-1970 · (201) 885-2539

Phone(201) 885-2539

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 21, 2023

Last NPPES UpdateApril 9, 20262 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1679271415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37PC01228500

506 3RD ST, Hoboken, NJ 07030

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Samantha Lee Shery Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395215743

PECOS Enrollment IDI20260527000526

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.