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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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: July 19, 2026.

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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.