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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SAMANTHA A.H. KELLEY LPC
NPI 1699173393
Counselor - Mental Health in Albertville, AL

Active since December 11, 2014PECOS Enrolled
100 ANDREW ST # 2, ALBERTVILLE, AL 35950(256) 239-5662 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2026, Sep 2, 2016 (2 updates tracked since 2016).

About Mrs. Samantha A.h. Kelley Lpc NPPES

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

MRS. SAMANTHA A.H. KELLEY LPC (NPI 1699173393) is an individual mental health provider in Albertville, Alabama, licensed in Alabama (LPC03440) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1699173393
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. SAMANTHA A.H. KELLEYCredential: LPC
Location Address100 ANDREW ST # 2Albertville, AL 35950-1971
Mailing Address319 Alabama 75, Suite BAlbertville, AL 35951 · (256) 660-0796
Phone(256) 239-5662
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 11, 2014
Last NPPES UpdateSeptember 14, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1699173393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AL · LPC03440
Also ListedCounselorTaxonomy 101Y00000X · License 3440 (AL)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 3440 (AL)
100 ANDREW ST # 2, Albertville, AL 35950
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Other Names 1

Other Name (5)Ms. Samantha A.h. Rhines

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Samantha A.h. Kelley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486112133
PECOS Enrollment IDI20260813001999
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 Reassignment

Medicare enrollment records show Samantha Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
1,104 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Alabama enrollment
  • 29 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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 Samantha Kelley's NPI number?

The NPI number for Samantha Kelley is 1699173393. It was assigned to this individual provider in the NPPES registry on December 11, 2014. The provider is also known as Ms. Samantha A.H. Rhines.

Where is Samantha Kelley located?

Samantha Kelley practices at 100 Andrew St # 2, Albertville, AL 35950. The listed phone number is (256) 239-5662.

What is Samantha Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samantha Kelley enrolled in Medicare?

Yes. Samantha Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kelley reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The 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 Samantha Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Kelley accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Samantha Kelley 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 Kelley was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.