SAMANTHA ANN FORSYTHE
NPI 1700372018
Counselor - Mental Health in American Fork, UT

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment
751 E 700 S, AMERICAN FORK, UT 84003(801) 284-4950 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Aug 13, 2018, Jul 10, 2018 (3 updates tracked since 2018).

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

NPI1700372018
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA ANN FORSYTHE
Location Address751 E 700 SAmerican Fork, UT 84003-3366
Mailing Address3725 W 4100 S Ste 201West Valley City, UT 84120-5427 · (888) 949-4864 · Fax (801) 375-9225
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 10, 2018
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1700372018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 316156-6004
751 E 700 S, American Fork, UT 84003

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 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.

PECOS PAC ID4486194545
PECOS Enrollment IDI20240904003542, I20251229002871
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

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

Counselor (Mental Health)
751 E 700 S
AMERICAN FORK, UT 84003

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.

What insurance does Samantha Forsythe accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health 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.