1. Home
  2. Directory
  3. New York
  4. Hauppauge
  5. Counselor
  6. NPI Profile

SAMANTHA ELIZABETH FONTANA LMHC
NPI 1790503613
Counselor - Mental Health in Hauppauge, NY

Active since September 30, 2024Opted out of Medicare · through Nov 26, 2027
900 WHEELER RD, HAUPPAUGE, NY 11788(631) 365-4454 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Elizabeth Fontana Lmhc NPPES

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

SAMANTHA ELIZABETH FONTANA LMHC (NPI 1790503613) is an individual mental health provider in Hauppauge, New York, licensed in New York (015244) and active in the NPI registry since September 2024. She has opted out of Medicare through November 26, 2027.

NPPES Registry Identity

NPI1790503613
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA ELIZABETH FONTANACredential: LMHC
Location Address900 WHEELER RDHauppauge, NY 11788-2964
Mailing Address2289 2nd StEast Meadow, NY 11554-1904 · (516) 507-7982
Phone(631) 365-4454
Sole ProprietorNo
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1790503613 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 · 015244
900 WHEELER RD, Hauppauge, NY 11788
Open in Google Maps ↗

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 Elizabeth Fontana Lmhc 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 November 26, 2025 through November 26, 2027.

Opt-Out Effective DateNovember 26, 2025
Opt-Out In Effect ThroughNovember 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

THOMAS JOSEPH SCHUETTE DC
Chiropractor
900 WHEELER RD, SUITE265
HAUPPAUGE, NY 11788
Suffolk County (631) 656-5656
BRANCH CHIROPRACTIC SERVICES PC
Chiropractor
900 WHEELER RD, SUITE 265
HAUPPAUGE, NY 11788
Suffolk County (631) 656-5656
MS. KIM BRODSKY LMSW
Social Worker
900 WHEELER RD, SUITE 210
HAUPPAUGE, NY 11788
Suffolk County (631) 361-7065
LYNNMARIE STAIANO, LCSW
Social Worker (Clinical)
900 WHEELER RD, SUITE 210
HAUPPAUGE, NY 11788
Suffolk County (631) 807-7065
TARA ALECE HERNANDEZ
Counselor (Mental Health)
900 WHEELER RD
HAUPPAUGE, NY 11788
Suffolk County (631) 365-4454
GABRIELLE SCHNEIDER
Counselor (Mental Health)
900 WHEELER RD
HAUPPAUGE, NY 11788
Suffolk County (631) 365-4454
SAVANNA NATOLI-ALABRE
Counselor (Mental Health)
900 WHEELER RD
HAUPPAUGE, NY 11788
Suffolk County (631) 365-4454

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 Fontana's NPI number?

The NPI number for Samantha Fontana is 1790503613. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Samantha Fontana located?

Samantha Fontana practices at 900 Wheeler Rd, Hauppauge, NY 11788. The listed phone number is (631) 365-4454.

What is Samantha Fontana's specialty?

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

Is Samantha Fontana enrolled in Medicare?

No. Samantha Fontana has opted out of Medicare through November 26, 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 Samantha Fontana was last updated on September 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.