SAMANTHA ALYSSA MCGOVERN
NPI 1871007476
Counselor - Professional in Wheaton, IL
About Samantha Alyssa Mcgovern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ALYSSA MCGOVERN (NPI 1871007476) is an individual professional provider in Wheaton, Illinois, licensed in Illinois (180.015354) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Alyssa Mcgovern is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Mcgovern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glen Ellyn, IL 60137
- Reassigned Medicare billing, Illinois enrollment
- 20 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.
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 Mcgovern's NPI number?
The NPI number for Samantha Mcgovern is 1871007476. It was assigned to this individual provider in the NPPES registry on November 20, 2017.
Where is Samantha Mcgovern located?
Samantha Mcgovern practices at 2 Wheaton Ctr Apt 1001, Wheaton, IL 60187. The listed phone number is (630) 639-6594.
What is Samantha Mcgovern's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Samantha Mcgovern enrolled in Medicare?
Yes. Samantha Mcgovern is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samantha Mcgovern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mcgovern reassigns Medicare benefits to Life Care Wellness, Inc. (Glen Ellyn, IL). 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 Mcgovern'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 Mcgovern was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Samantha Alyssa Mcgovern · NPI 1871007476
Professional provider in Wheaton, Illinois. Individual provider, active in the CMS NPPES registry since November 20, 2017.
## Identity
- **NPI:** 1871007476 (Entity type: Individual)
- **Enumerated:** November 20, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180.015354 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 WHEATON CTR APT 1001, Wheaton, IL 60187-4972
- **Phone:** (630) 639-6594
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Life Care Wellness, Inc. (NPI 1952767733, Glen Ellyn, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871007476) · Data from the CMS NPPES public registry.