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SAMANTHA WILSON
NPI 1700287794
Counselor - Mental Health in Lafayette, CO

Active since September 09, 2014PECOS Enrolled
1455 DIXON AVENUE, LAFAYETTE, CO 80026(303) 443-8500 Get Directions Write a Review

NPPES record last updated: October 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 3, 2021, Jun 13, 2019 (2 updates tracked since 2019).

About Samantha Wilson NPPES

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

SAMANTHA WILSON (NPI 1700287794) is an individual mental health provider in Lafayette, Colorado and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700287794
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA WILSON
Location Address1455 DIXON AVENUELafayette, CO 80026-6806
Mailing Address1455 Dixon AvenueLafayette, CO 80026 · (303) 443-8500
Phone(303) 443-8500
Sole ProprietorNo
Enumeration DateSeptember 9, 2014
Last NPPES UpdateOctober 3, 20212 updates tracked since enumeration
NPPES CertifiedOctober 3, 2021
✔ NPI 1700287794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1455 DIXON AVENUE, Lafayette, CO 80026
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Wilson 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.

Other Providers at the Same Location NPPES 4

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

LUCIANA GRAVOTTA
Counselor (Mental Health)
1455 DIXON AVENUE
LAFAYETTE, CO 80026
Boulder County (303) 665-6996
CHLOE MINCHER
Student in an Organized Health Care Education/Training Program
1455 DIXON AVENUE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
MS. MALIKA KHADIJAT HOWARD NA
Behavior Technician
1455 DIXON AVENUE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500
GABRIELA A GARZA-VAZQUEZ
Counselor (Mental Health)
1455 DIXON AVENUE
LAFAYETTE, CO 80026
Boulder County (303) 443-8500

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 Wilson's NPI number?

The NPI number for Samantha Wilson is 1700287794. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Samantha Wilson located?

Samantha Wilson practices at 1455 Dixon Avenue, Lafayette, CO 80026. The listed phone number is (303) 443-8500.

What is Samantha Wilson's specialty?

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

Is Samantha Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Wilson was last updated on October 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.