SAMANTHA SIMMS
NPI 1760273189
Counselor - Mental Health in Austin, TX

Active since May 15, 2025Opted out of Medicare · through May 13, 2028
8500 SHOAL CREEK BLVD., BLDG. 4, #202, AUSTIN, TX 78757(512) 201-4501 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samantha Simms NPPES

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

SAMANTHA SIMMS (NPI 1760273189) is an individual mental health provider in Austin, Texas, licensed in Texas (83269) and active in the NPI registry since May 2025. She has opted out of Medicare through May 13, 2028.

NPPES Registry Identity

NPI1760273189
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA SIMMS
Location Address8500 SHOAL CREEK BLVD., BLDG. 4, #202Austin, TX 78757
Mailing Address1403 Gator Creek DrCedar Park, TX 78613-1449
Sole ProprietorNo
Enumeration DateMay 15, 2025
NPPES CertifiedMay 14, 2025
NPI 1760273189 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 TX · 83269
8500 SHOAL CREEK BLVD., Austin, TX 78757

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Samantha Simms 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 13, 2024 through May 13, 2028.

Opt-Out Effective DateMay 13, 2024
Opt-Out In Effect ThroughMay 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
8500 SHOAL CREEK BLVD., 170
AUSTIN, TX 78757

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 Simms's NPI number?

The NPI number for Samantha Simms is 1760273189. It was assigned to this individual provider in the NPPES registry on May 15, 2025.

Where is Samantha Simms located?

Samantha Simms practices at 8500 Shoal Creek Blvd. Bldg. 4, #202, Austin, TX 78757. The listed phone number is (512) 201-4501.

What is Samantha Simms's specialty?

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

Is Samantha Simms enrolled in Medicare?

No. Samantha Simms has opted out of Medicare through May 13, 2028. 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 Samantha Simms was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.