SAMANTHA WIEDERRECHT MS, LPC, NCC
NPI 1689367526
Counselor - Professional in Douglas, WY
About Samantha Wiederrecht Ms, Lpc, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA WIEDERRECHT MS, LPC, NCC (NPI 1689367526) is an individual professional provider in Douglas, Wyoming, licensed in Wyoming (LPC-2462) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Wiederrecht Ms, Lpc, Ncc 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.
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.
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 Wiederrecht's NPI number?
The NPI number for Samantha Wiederrecht is 1689367526. It was assigned to this individual provider in the NPPES registry on May 26, 2023.
Where is Samantha Wiederrecht located?
Samantha Wiederrecht practices at 1841 Madora Ave, Douglas, WY 82633. The listed phone number is (307) 358-2846.
What is Samantha Wiederrecht's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Samantha Wiederrecht enrolled in Medicare?
Yes. Samantha Wiederrecht 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.
What insurance does Samantha Wiederrecht accept?
Health plans from Blue Cross Blue Shield of Wyoming and University of Utah Health Plans list Samantha Wiederrecht 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 Samantha Wiederrecht was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Samantha Wiederrecht, MS, LPC, NCC · NPI 1689367526
Professional provider in Douglas, Wyoming. Individual provider, active in the CMS NPPES registry since May 26, 2023.
## Identity
- **NPI:** 1689367526 (Entity type: Individual)
- **Enumerated:** May 26, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-2462 (Wyoming)
- **Sole proprietor:** No
## Practice location
- **Address:** 1841 MADORA AVE, Douglas, WY 82633-3057
- **Phone:** (307) 358-2846
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689367526) · Data from the CMS NPPES public registry.