SAMANTHA HINDMAN LMHC
NPI 1730632639
Counselor - Mental Health in Debary, FL

Active since July 27, 2016PECOS EnrolledAccepts Medicare Assignment
356 ENGLENOOK DR, DEBARY, FL 32713(800) 539-4228(386) 668-3582 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha Hindman Lmhc NPPES

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

SAMANTHA HINDMAN LMHC (NPI 1730632639) is an individual mental health provider in Debary, Florida, licensed in Florida (MH19303) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brockton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730632639
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA HINDMANCredential: LMHC
Location Address356 ENGLENOOK DRDebary, FL 32713-1805
Mailing Address150 Magnolia AveDaytona Beach, FL 32114-4304 · (386) 236-3225
Fax(386) 668-3582
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 27, 2016
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1730632639 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 · MH19303
356 ENGLENOOK DR, Debary, FL 32713

Secondary Practice Location 1

Location 11115 W Chestnut St, Ste 101Brockton, MA 02301-7501 · Phone (508) 521-2287

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 Hindman Lmhc 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 ID9931547486
PECOS Enrollment IDI20240403003168
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 Reassignments

3

Medicare enrollment records show Samantha Hindman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
22385 FLORA PARK CROSSING DRIVE
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 93 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.

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
356 ENGLENOOK DR
DEBARY, FL 32713
Counselor (Mental Health)
356 ENGLENOOK DR
DEBARY, FL 32713
Social Worker (Clinical)
356 ENGLENOOK DR
DEBARY, FL 32713

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 Hindman's NPI number?

The NPI number for Samantha Hindman is 1730632639. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Where is Samantha Hindman located?

Samantha Hindman practices at 356 Englenook Dr, Debary, FL 32713. The listed phone number is (800) 539-4228.

What is Samantha Hindman's specialty?

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

Is Samantha Hindman enrolled in Medicare?

Yes. Samantha Hindman 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 Hindman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Hindman reassigns Medicare benefits to 3 organizations: Balanced Wellbeing LLC (Ocala, FL), Mcr Health, Inc. (Parrish, FL) and Coastal Community Health Services, Inc. (Fernandina Beach, FL). 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 Hindman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Hindman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 5 other insurers list Samantha Hindman 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 Hindman was last updated on December 19, 2023. 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.