SAMANTHA MARIE BARDOO
NPI 1710526298
Counselor - Mental Health in Miami, FL

Q: What is Samantha Bardoo's NPI number?

The NPI number for Samantha Bardoo is 1710526298. It was assigned to this individual provider in the NPPES registry on December 31, 2019. The provider is also known as Samantha Marie Mclane.

Q: What is Samantha Bardoo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Bardoo was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 31, 2019PECOS Enrolled

1951 NW 7TH AVE FL 3, MIAMI, FL 33136(305) 902-6347 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2021, Dec 31, 2019 (2 updates tracked since 2019).

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About Samantha Marie Bardoo NPPES

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

SAMANTHA MARIE BARDOO (NPI 1710526298) is an individual mental health provider in Miami, Florida, licensed in Florida (MH17631) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710526298

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSAMANTHA MARIE BARDOO

Location Address1951 NW 7TH AVE FL 3Miami, FL 33136-1104

Mailing Address4 Janet StPensacola, FL 32506-4652 · (904) 662-2925

Phone(305) 902-6347

Sole ProprietorNo

Enumeration DateDecember 31, 2019

Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1710526298 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 FL · MH17631

1951 NW 7TH AVE FL 3, Miami, FL 33136

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Other Names 1

Former Name (1)Samantha Marie Mclane

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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 Marie Bardoo 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 Bardoo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Breakthrough Therapeutics

63 mi

Mental Health (Including Community Mental Health Center)

7750 OKEECHOBEE BLVD STE 4-1032
West Palm Beach, FL 33411

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1275292096 (561) 247-5550

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

Other Providers at the Same Location NPPES 20

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

DOMINIQUE PAYNE MSW

Community/Behavioral Health