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SAMANTHA FAITH KOPACK LCPC
NPI 1740566744
Counselor - Mental Health in Portland, ME

Active since October 24, 2011PECOS Enrolled
901 WASHINGTON AVE STE 100, PORTLAND, ME 04103(207) 871-1200(207) 871-1232 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Faith Kopack Lcpc NPPES

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

SAMANTHA FAITH KOPACK LCPC (NPI 1740566744) is an individual mental health provider in Portland, Maine and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740566744
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA FAITH KOPACKCredential: LCPC
Location Address901 WASHINGTON AVE STE 100Portland, ME 04103-2842
Mailing Address901 Washington Ave Ste 100Portland, ME 04103-2842 · (207) 871-1200 · Fax (207) 871-1232
Phone(207) 871-1200
Fax(207) 871-1232
Sole ProprietorNo
Enumeration DateOctober 24, 2011
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1740566744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
901 WASHINGTON AVE STE 100, Portland, ME 04103
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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 Faith Kopack Lcpc 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 20

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

RANI WILSON LCPC-CC
Counselor (Mental Health)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (207) 871-1200
JOSEPH BOUTIN OT
Occupational Therapist
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (207) 871-1200
SARA A GLEASON
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (207) 871-1200
CHELSEA M WHITE LMSW-CC
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (207) 871-1200
ALEXIS A RICE
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (207) 871-1200
ANDREW CURTIS PEAKE LMSW-CC
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (207) 871-1200
ALLI WINKELMAN LMSW-CC
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (120) 787-1120
TYLER WALLACE LMSW-CC
Social Worker (Clinical)
901 WASHINGTON AVE STE 100
PORTLAND, ME 04103
Cumberland County (207) 871-1200

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 Kopack's NPI number?

The NPI number for Samantha Kopack is 1740566744. It was assigned to this individual provider in the NPPES registry on October 24, 2011.

Where is Samantha Kopack located?

Samantha Kopack practices at 901 Washington Ave Ste 100, Portland, ME 04103. The listed phone number is (207) 871-1200.

What is Samantha Kopack's specialty?

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

Is Samantha Kopack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Kopack was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.