SAMANTHA WURST LPC
NPI 1831751528
Counselor - Mental Health in Collingswood, NJ

Active since July 02, 2019PECOS Enrolled
24 LEES AVE, COLLINGSWOOD, NJ 08108(865) 834-3709 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 20, 2021, Jul 2, 2019 (2 updates tracked since 2019).

About Samantha Wurst Lpc NPPES

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

SAMANTHA WURST LPC (NPI 1831751528) is an individual mental health provider in Collingswood, New Jersey and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831751528
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA WURSTCredential: LPC
Location Address24 LEES AVECollingswood, NJ 08108-2070
Mailing Address24 Lees AveCollingswood, NJ 08108-2070
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 2, 2019
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1831751528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
24 LEES AVE, Collingswood, NJ 08108

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID345709788
PECOS Enrollment IDI20260826004121
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 Wurst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
24 LEES AVE STE 7-10
Collingswood, NJ 08108
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group

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 10

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

Social Worker (Clinical)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Social Worker (Clinical)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Social Worker
24 LEES AVE
COLLINGSWOOD, NJ 08108
Counselor (Professional)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Social Worker (Clinical)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Counselor (Professional)
24 LEES AVE
COLLINGSWOOD, NJ 08108
Occupational Therapist
24 LEES AVE
COLLINGSWOOD, NJ 08108
Social Worker (Clinical)
24 LEES AVE
COLLINGSWOOD, NJ 08108

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 Wurst's NPI number?

The NPI number for Samantha Wurst is 1831751528. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Samantha Wurst located?

Samantha Wurst practices at 24 Lees Ave, Collingswood, NJ 08108. The listed phone number is (865) 834-3709.

What is Samantha Wurst's specialty?

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

Is Samantha Wurst enrolled in Medicare?

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

Which organization bills Medicare for Samantha Wurst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wurst reassigns Medicare benefits to Mind Body Soul Wellness Center LLC (Collingswood, NJ). 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 Wurst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Wurst accept?

Health plans from Oscar Health list Samantha Wurst 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 Wurst was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.