SAMUEL HACKETT LPC
NPI 1851003552
Counselor - Mental Health in Saint Louis, MO

Q: What is Samuel Hackett's NPI number?

The NPI number for Samuel Hackett is 1851003552. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Q: What is Samuel Hackett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Hackett was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 14, 2022PECOS Enrolled

6753 ODELL ST, SAINT LOUIS, MO 63139(314) 604-5590 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Samuel Hackett Lpc NPPES

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

SAMUEL HACKETT LPC (NPI 1851003552) is an individual mental health provider in Saint Louis, Missouri, licensed in Missouri (2020014384) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851003552

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSAMUEL HACKETTCredential: LPC

Location Address6753 ODELL STSaint Louis, MO 63139-2532

Mailing Address6753 Odell StSaint Louis, MO 63139-2532 · (314) 604-5590

Phone(314) 604-5590

Sole ProprietorYes

Enumeration DateDecember 14, 2022

Last NPPES UpdateAugust 29, 2025

NPPES CertifiedAugust 29, 2025

✔ NPI 1851003552 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 MO · 2020014384

6753 ODELL ST, Saint Louis, MO 63139

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 (PECOS)

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

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 Samuel Hackett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mypathtoself Inc.

8.6 mi

Mental Health

12810 TESSON FERRY RD STE 103
Saint Louis, MO 63128

Reassigned Medicare billing, Missouri enrollment
19 clinicians in this Medicare group

NPI 1700596772 (314) 650-9537

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samuel Hackett's NPI number?

The NPI number for Samuel Hackett is 1851003552. It was assigned to this individual provider in the NPPES registry on December 14, 2022.

Where is Samuel Hackett located?

Samuel Hackett practices at 6753 Odell St, Saint Louis, MO 63139. The listed phone number is (314) 604-5590.

What is Samuel Hackett's specialty?

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

Is Samuel Hackett enrolled in Medicare?

Yes. Samuel Hackett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Hackett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hackett reassigns Medicare benefits to Mypathtoself Inc. (Saint Louis, MO). 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 Samuel Hackett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Hackett accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Samuel Hackett 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 Samuel Hackett was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.