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SAMANTHA FITZGERALD
NPI 1760162689
Counselor - Mental Health in New York, NY

Active since July 25, 2023PECOS Enrolled
620 8TH AVE, NEW YORK, NY 10018(646) 941-7645 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Jul 25, 2023 (2 updates tracked since 2023).

About Samantha Fitzgerald NPPES

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

SAMANTHA FITZGERALD (NPI 1760162689) is an individual mental health provider in New York, New York, licensed in New York (015918) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760162689
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA FITZGERALD
Location Address620 8TH AVENew York, NY 10018-1618
Mailing Address620 8th AveNew York, NY 10018-1618
Phone(646) 941-7645
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 25, 2023
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1760162689 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 NY · 015918
620 8TH AVE, New York, NY 10018
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Fitzgerald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729558614
PECOS Enrollment IDI20260601003909
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 Fitzgerald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,092 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 8

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

DR. GASTON WEISZ PSY.D.
Psychologist (Cognitive & Behavioral)
620 8TH AVE
NEW YORK, NY 10018
New York County (516) 822-0955
TESHONNE POWELL
Drama Therapist
620 8TH AVE
NEW YORK, NY 10018
New York County (646) 941-7645
ROSALIA DUARTE LCSW
Social Worker (Clinical)
620 8TH AVE
NEW YORK, NY 10018
New York County (646) 941-7645
JENNIFER IRIS COHN
Counselor (Mental Health)
620 8TH AVE
NEW YORK, NY 10018
New York County (646) 941-7645
OMAR RAMIREZ LCSW
Social Worker (Clinical)
620 8TH AVE
NEW YORK, NY 10018
New York County (646) 941-7645
KERRY MAE CALLENDER
Nurse Practitioner (Psychiatric/Mental Health)
620 8TH AVE
NEW YORK, NY 10018
New York County (646) 941-7645
MRS. ELIZABETH CAROLE OU LCSW
Social Worker (Clinical)
620 8TH AVE
NEW YORK, NY 10018
New York County (646) 941-7645
EMILY ELIZABETH DORMAN LCSW
Social Worker (Clinical)
620 8TH AVE
NEW YORK, NY 10018
New York County (646) 941-7645

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 Fitzgerald's NPI number?

The NPI number for Samantha Fitzgerald is 1760162689. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Samantha Fitzgerald located?

Samantha Fitzgerald practices at 620 8th Ave, New York, NY 10018. The listed phone number is (646) 941-7645.

What is Samantha Fitzgerald's specialty?

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

Is Samantha Fitzgerald enrolled in Medicare?

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

Which organization bills Medicare for Samantha Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Fitzgerald reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Fitzgerald was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.