1. Home
  2. Directory
  3. Kentucky
  4. Leitchfield
  5. Counselor
  6. NPI Profile

SAMANTHA JO EMBRY LPCA
NPI 1902619638
Counselor - Mental Health in Leitchfield, KY

Active since January 28, 2025PECOS Enrolled
346 S MAIN ST, LEITCHFIELD, KY 42754(270) 230-6166 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Jo Embry Lpca NPPES

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

SAMANTHA JO EMBRY LPCA (NPI 1902619638) is an individual mental health provider in Leitchfield, Kentucky, licensed in Kentucky (287909) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902619638
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA JO EMBRYCredential: LPCA
Location Address346 S MAIN STLeitchfield, KY 42754-1428
Mailing Address783 Lawrence Hayes RdCaneyville, KY 42721-9131 · (270) 230-6166
Phone(270) 230-6166
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1902619638 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 KY · 287909
346 S MAIN ST, Leitchfield, KY 42754
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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)

Samantha Jo Embry Lpca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537653860
PECOS Enrollment IDI20251212003355
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 Embry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Twin Lakes Counseling Services, LLC
0.4 mi
Professional
346 S MAIN ST
Leitchfield, KY 42754
  • Reassigned Medicare billing, Kentucky enrollment
  • 15 clinicians in this Medicare group
NPI 1508100447 (270) 230-1777

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 13

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

JANICE NETHERLAND LPCC
Counselor (Professional)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-1777
KIARRA WILLIAMS LPCC
Counselor (Professional)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-1777
BAILEY VANMETER
Social Worker (Clinical)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-1777
HANNAH GUANIPA
Counselor (Professional)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-1777
TWIN LAKES COUNSELING SERVICES, LLC
Counselor (Professional)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-1777
MRS. PATSY MORGAN TIVITT-MOORE LCSW
Social Worker (Clinical)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-1777
CORRIN CLEMONS LPCC
Counselor (Professional)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-1777
JESSICA DANIELLE SMITH LPCC, NCC
Counselor (Mental Health)
346 S MAIN ST
LEITCHFIELD, KY 42754
Grayson County (270) 230-6166

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 Embry's NPI number?

The NPI number for Samantha Embry is 1902619638. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Samantha Embry located?

Samantha Embry practices at 346 S Main St, Leitchfield, KY 42754. The listed phone number is (270) 230-6166.

What is Samantha Embry's specialty?

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

Is Samantha Embry enrolled in Medicare?

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

Which organization bills Medicare for Samantha Embry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Embry reassigns Medicare benefits to Twin Lakes Counseling Services, LLC (Leitchfield, KY). 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 Embry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Embry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Samantha Embry 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 Embry was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.