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SAMANTHA CANNON ROBERTS LCSW, LCDC
NPI 1699535484
Social Worker - Clinical in Round Rock, TX

Active since March 20, 2024PECOS Enrolled
1101 SATELLITE VW UNIT 603, ROUND ROCK, TX 78665(512) 843-1154(512) 894-6412 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 24, 2026, May 5, 2025 (2 updates tracked since 2025).

About Samantha Cannon Roberts Lcsw, Lcdc NPPES

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

SAMANTHA CANNON ROBERTS LCSW, LCDC (NPI 1699535484) is an individual clinical provider in Round Rock, Texas, licensed in Texas (105997) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699535484
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA CANNON ROBERTSCredential: LCSW, LCDC
Location Address1101 SATELLITE VW UNIT 603Round Rock, TX 78665-1592
Mailing Address716 Mais DrGeorgetown, TX 78626-3058 · (512) 843-1154 · Fax (512) 894-6412
Phone(512) 843-1154
Fax(512) 894-6412
Sole ProprietorNo
Enumeration DateMarch 20, 2024
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1699535484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 105997
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16660 (TX)
1101 SATELLITE VW UNIT 603, Round Rock, TX 78665
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company 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)

Samantha Cannon Roberts Lcsw, Lcdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kindly Psychotherapy, PLLC
Same address
Clinical
1101 SATELLITE VW UNIT 603
Round Rock, TX 78665
  • Reassigned Medicare billing, Texas enrollment
NPI 1831034537 (512) 843-1154

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COLLINS COUNSELING LLC
Counselor (Professional)
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (512) 212-7045
MRS. MAKINI AYANA LENO LPC
Counselor (Professional)
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (512) 763-6523
MARY GUTHRIE
Social Worker (Clinical)
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (512) 212-7045
MRS. SUSAN MELLON
Marriage & Family Therapist
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (512) 862-0687
JEFFREY P BAKER LPC ASSOCIATE
Counselor
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (512) 212-7045
MADISON ANN VENCILL LMSW
Social Worker (Clinical)
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (512) 862-0687
APRIL LEE HARGERS
Nurse Practitioner (Psychiatric/Mental Health)
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (737) 258-5108
BRYN STARBIRD
Counselor (Mental Health)
1101 SATELLITE VW UNIT 603
ROUND ROCK, TX 78665
Williamson County (512) 993-2995

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 Roberts's NPI number?

The NPI number for Samantha Roberts is 1699535484. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Samantha Roberts located?

Samantha Roberts practices at 1101 Satellite Vw Unit 603, Round Rock, TX 78665. The listed phone number is (512) 843-1154.

What is Samantha Roberts's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samantha Roberts enrolled in Medicare?

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

Which organization bills Medicare for Samantha Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Roberts reassigns Medicare benefits to Kindly Psychotherapy, PLLC (Round Rock, TX). 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 Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Roberts accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Samantha Roberts 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 Roberts was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.