SAMANTHA ANN MARIE BAUER LGPC
NPI 1902379431
Counselor - Mental Health in Elkton, MD

Active since January 08, 2019PECOS EnrolledAccepts Medicare Assignment
200 BOOTH ST, ELKTON, MD 21921(410) 996-5104 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 9, 2020, Jan 8, 2019 (2 updates tracked since 2019).

About Samantha Ann Marie Bauer Lgpc NPPES

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

SAMANTHA ANN MARIE BAUER LGPC (NPI 1902379431) is an individual mental health provider in Elkton, Maryland and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902379431
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA ANN MARIE BAUERCredential: LGPC
Location Address200 BOOTH STElkton, MD 21921-5657
Mailing Address1275b W Pulaski HwyElkton, MD 21921-4719 · (443) 370-1804
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 8, 2019
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1902379431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BOOTH ST, Elkton, MD 21921

Other Identifiers 1

MedicaidLGP10288MD

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 Ann Marie Bauer Lgpc 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.

PECOS PAC ID8123500097
PECOS Enrollment IDI20260302000708
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 Bauer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2057 PULASKI HWY STE 4
North East, MD 21901
  • Reassigned Medicare billing, Maryland enrollment
  • 6 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 20

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

Counselor
200 BOOTH ST
ELKTON, MD 21921
Social Worker (Clinical)
200 BOOTH ST
ELKTON, MD 21921
Counselor (School)
200 BOOTH ST
ELKTON, MD 21921
Counselor (Mental Health)
200 BOOTH ST
ELKTON, MD 21921
Social Worker
200 BOOTH ST
ELKTON, MD 21921
Social Worker
200 BOOTH ST
ELKTON, MD 21921
Social Worker
200 BOOTH ST
ELKTON, MD 21921
Social Worker (Clinical)
200 BOOTH ST
ELKTON, MD 21921

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 Bauer's NPI number?

The NPI number for Samantha Bauer is 1902379431. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Samantha Bauer located?

Samantha Bauer practices at 200 Booth St, Elkton, MD 21921. The listed phone number is (410) 996-5104.

What is Samantha Bauer's specialty?

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

Is Samantha Bauer enrolled in Medicare?

Yes. Samantha Bauer 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 Bauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bauer reassigns Medicare benefits to Jesse Fairchild LLC (North East, MD). 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 Bauer'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 Bauer was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.