SAMANTHA JOY DONOVAN LPC
NPI 1679968283
Counselor - Professional in Springfield, IL

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703(217) 585-1180 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Joy Donovan Lpc NPPES

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

SAMANTHA JOY DONOVAN LPC (NPI 1679968283) is an individual professional provider in Springfield, Illinois, licensed in Illinois (178.010877) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1679968283
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA JOY DONOVANCredential: LPC
Location Address5230 6TH STREET FRONTAGE RD ESpringfield, IL 62703-5128
Mailing AddressPo Box 51Manchester, IL 62663-0051 · (217) 883-2282 · Fax (309) 403-1369
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 31, 2015
Last NPPES UpdateMarch 17, 2018
NPI 1679968283 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 IL · 178.010877
5230 6TH STREET FRONTAGE RD E, Springfield, IL 62703

Secondary Practice Location 1

Location 1975 S Durkin Dr Ste 202Springfield, IL 62704-8906 · Phone (217) 726-9882 · Fax (309) 403-1369

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Joy Donovan 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 ID8123503158
PECOS Enrollment IDI20260327002308
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 20

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

Marriage & Family Therapist
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Nurse Practitioner (Psychiatric/Mental Health)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Registered Nurse
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor (Addiction (Substance Use Disorder))
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor (Mental Health)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703

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 Donovan's NPI number?

The NPI number for Samantha Donovan is 1679968283. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Samantha Donovan located?

Samantha Donovan practices at 5230 6th Street Frontage Rd E, Springfield, IL 62703. The listed phone number is (217) 585-1180.

What is Samantha Donovan's specialty?

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

Is Samantha Donovan enrolled in Medicare?

Yes. Samantha Donovan 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.

When was this NPI record last updated?

The NPPES record for Samantha Donovan was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.