SAMUEL LYLE STEWART
NPI 1750138145
Counselor in Fair Oaks, CA

Q: What is Samuel Stewart's NPI number?

The NPI number for Samuel Stewart is 1750138145. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Q: What is Samuel Stewart's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Samuel Stewart enrolled in Medicare?

No. Samuel Stewart has opted out of Medicare through May 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samuel Stewart was last updated on May 2, 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.

Active since May 02, 2024Opted out of Medicare · through May 27, 2027

10940 FAIR OAKS BLVD STE 600, FAIR OAKS, CA 95628(916) 426-2757 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samuel Lyle Stewart NPPES

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

SAMUEL LYLE STEWART (NPI 1750138145) is an individual counselor in Fair Oaks, California, licensed in California (APCC12571) and active in the NPI registry since May 2024. He has opted out of Medicare through May 27, 2027.

NPPES Registry Identity

NPI1750138145

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSAMUEL LYLE STEWART

Location Address10940 FAIR OAKS BLVD STE 600Fair Oaks, CA 95628-5958

Mailing Address1751 E Roseville Pkwy Apt 718Roseville, CA 95661-6427 · (916) 704-4440

Phone(916) 426-2757

Sole ProprietorNo

Enumeration DateMay 2, 2024

NPPES CertifiedMay 2, 2024

✔ NPI 1750138145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CA · APCC12571

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

10940 FAIR OAKS BLVD STE 600, Fair Oaks, CA 95628

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samuel Lyle Stewart has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 27, 2025 through May 27, 2027.

Opt-Out Effective DateMay 27, 2025

Opt-Out In Effect ThroughMay 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

NANCY L RYAN LMFT

Counselor (Mental Health)

10940 FAIR OAKS BLVD STE 600
FAIR OAKS, CA 95628

Sacramento County (916) 426-2757

RELATIONSHIP AND MARRIAGE THERAPY CENTER: A PROFESSIONAL CORPORATION

Marriage & Family Therapist

10940 FAIR OAKS BLVD STE 600
FAIR OAKS, CA 95628

Sacramento County (916) 426-2757

LAURA ELIZABETH SHARP AMFT, APCC

Counselor (Mental Health)

10940 FAIR OAKS BLVD STE 600
FAIR OAKS, CA 95628

Sacramento County (916) 426-2757

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 Samuel Stewart's NPI number?

The NPI number for Samuel Stewart is 1750138145. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Samuel Stewart located?

Samuel Stewart practices at 10940 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628. The listed phone number is (916) 426-2757.

What is Samuel Stewart's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samuel Stewart enrolled in Medicare?

No. Samuel Stewart has opted out of Medicare through May 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samuel Stewart was last updated on May 2, 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.