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SAMANTHA BROOKE TREASE MA, LPCC
NPI 1750854808
Counselor - Mental Health in Port Clinton, OH

Active since January 10, 2019PECOS EnrolledAccepts Medicare Assignment
335 BUCKEYE BLVD, PORT CLINTON, OH 43452(419) 734-2942 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 26, 2022, Jan 27, 2020, Jan 10, 2019 (3 updates tracked since 2019).

About Samantha Brooke Trease Ma, Lpcc NPPES

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

SAMANTHA BROOKE TREASE MA, LPCC (NPI 1750854808) is an individual mental health provider in Port Clinton, Ohio, licensed in Ohio (E.2203118) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750854808
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA BROOKE TREASECredential: MA, LPCC
Location Address335 BUCKEYE BLVDPort Clinton, OH 43452-1423
Mailing Address1925 Hayes AveSandusky, OH 44870-4737 · (419) 557-5177
Phone(419) 734-2942
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 10, 2019
Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
✔ NPI 1750854808 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 OH · E.2203118
335 BUCKEYE BLVD, Port Clinton, OH 43452
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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 Brooke Trease Ma, Lpcc 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 ID5092246959
PECOS Enrollment IDI20241002001637
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 Trease reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oryxcare LLC
15 mi
Social Worker
219 S FRONT ST STE 301
Fremont, OH 43420
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1083355192 (419) 603-4387

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.

THOMAS P KUNKLE PHD.
Psychologist (Clinical)
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942
LAURA ANN MILLER LISWS
Social Worker (Clinical)
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942
BRITTANI BONANNO
Case Manager/Care Coordinator
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942
PATTY L HALL LSW
Social Worker
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942
MEGAN YURISTA CDCA, LSW
Social Worker
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942
HEATHER LEANN FLORES QMHS
Case Manager/Care Coordinator
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942
ABBEY BAHS
Community Health Worker
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942
MATTHEW CHRISTIANSEN
Case Manager/Care Coordinator
335 BUCKEYE BLVD
PORT CLINTON, OH 43452
Ottawa County (419) 734-2942

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 Trease's NPI number?

The NPI number for Samantha Trease is 1750854808. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Where is Samantha Trease located?

Samantha Trease practices at 335 Buckeye Blvd, Port Clinton, OH 43452. The listed phone number is (419) 734-2942.

What is Samantha Trease's specialty?

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

Is Samantha Trease enrolled in Medicare?

Yes. Samantha Trease 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 organization bills Medicare for Samantha Trease's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Trease reassigns Medicare benefits to Oryxcare LLC (Fremont, OH). The 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 Trease's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Trease accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Samantha Trease 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 Trease was last updated on September 26, 2022. 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.