SAMANTHA ANN FORSYTHE
NPI 1700372018
Counselor - Mental Health in American Fork, UT
About Samantha Ann Forsythe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ANN FORSYTHE (NPI 1700372018) is an individual mental health provider in American Fork, Utah, licensed in Utah (316156-6004) and active in the NPI registry since July 2018. 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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Ann Forsythe 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Forsythe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Valley City, UT 84120
- Reassigned Medicare billing, Idaho and Utah enrollments
- 25 clinicians in this Medicare group
Woods Cross, UT 84010
- Reassigned Medicare billing, Utah enrollment
- 5 clinicians in this Medicare group
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 Forsythe's NPI number?
The NPI number for Samantha Forsythe is 1700372018. It was assigned to this individual provider in the NPPES registry on July 10, 2018.
Where is Samantha Forsythe located?
Samantha Forsythe practices at 751 E 700 S, American Fork, UT 84003. The listed phone number is (801) 284-4950.
What is Samantha Forsythe's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samantha Forsythe enrolled in Medicare?
Yes. Samantha Forsythe 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.
Which organizations bill Medicare for Samantha Forsythe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Forsythe reassigns Medicare benefits to 2 organizations: Valley Behavioral Health Incorporated (West Valley City, UT) and Senior Health Counseling Services LLC (Woods Cross, UT). Each 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 Forsythe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Forsythe accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 6 other insurers list Samantha Forsythe 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 Forsythe was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samantha Ann Forsythe · NPI 1700372018
Mental Health provider in American Fork, Utah. Individual provider, active in the CMS NPPES registry since July 10, 2018.
## Identity
- **NPI:** 1700372018 (Entity type: Individual)
- **Enumerated:** July 10, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 316156-6004 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 751 E 700 S, American Fork, UT 84003-3366
- **Phone:** (801) 284-4950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valley Behavioral Health Incorporated (NPI 1932166980, West Valley City, UT); Senior Health Counseling Services LLC (NPI 1073356945, Woods Cross, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700372018) · Data from the CMS NPPES public registry.