1. Home
  2. Directory
  3. Arkansas
  4. Fayetteville
  5. Counselor
  6. NPI Profile

SAMANTHA BREYFOGLE LPC, LMFT
NPI 1922836394
Counselor - Mental Health in Fayetteville, AR

Active since July 25, 2024PECOS Enrolled
3425 N FUTRALL DR, FAYETTEVILLE, AR 72703(479) 713-8000(479) 713-8375 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2025, Jul 25, 2024 (2 updates tracked since 2024).

About Samantha Breyfogle Lpc, Lmft NPPES

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

SAMANTHA BREYFOGLE LPC, LMFT (NPI 1922836394) is an individual mental health provider in Fayetteville, Arkansas, licensed in Arkansas (P2405006) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springdale, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922836394
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA BREYFOGLECredential: LPC, LMFT
Location Address3425 N FUTRALL DRFayetteville, AR 72703-4811
Mailing Address1900 Kimbrough St Apt ASpringdale, AR 72762-1523 · (479) 800-1555
Phone(479) 713-8000
Fax(479) 713-8375
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 25, 2024
Last NPPES UpdateMarch 13, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1922836394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · P2405006
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License M2406004 (AR)
3425 N FUTRALL DR, Fayetteville, AR 72703
Open in Google Maps ↗

Secondary Practice Location 1

Location 11900 Kimbrough St Apt ASpringdale, AR 72762-1523 · Phone (479) 800-1555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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 Breyfogle Lpc, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002341674
PECOS Enrollment IDI20241120001749
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 Reassignments

2

Medicare enrollment records show Samantha Breyfogle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Arkansas For Medical Sciences
0.5 mi
Psychiatry
3425 N FUTRALL DR STE 103
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1720217599 (479) 713-8350
Natural State Counseling Centers
16 mi
Mental Health
210 E LOCUST ST
Rogers, AR 72756
  • Reassigned Medicare billing, Arkansas enrollment
  • 6 clinicians in this Medicare group
NPI 1497538383 (479) 360-9080

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 11

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

ALANA NICOLE LINN LMSW
Social Worker (Clinical)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
KYLE MITCHELL CAMP MD
Psychiatry & Neurology (Psychiatry)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8350
CLANCY DEE JONES MD
Psychiatry & Neurology (Psychiatry)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
ANDREA ELIZABETH MCMAHON MD
Psychiatry & Neurology (Psychiatry)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
ELIZABETH L DEMORET
Social Worker (Clinical)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8350
SHARNAE HANNAH LCSW
Social Worker (Clinical)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
CATHERINE D KABASIA MSW, LCSW
Social Worker (Clinical)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
MRS. MELISSA K ATKINSON LCSW
Social Worker (Clinical)
3425 N FUTRALL DR
FAYETTEVILLE, AR 72703
Washington County (479) 713-8350

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 Breyfogle's NPI number?

The NPI number for Samantha Breyfogle is 1922836394. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Samantha Breyfogle located?

Samantha Breyfogle practices at 3425 N Futrall Dr, Fayetteville, AR 72703. The listed phone number is (479) 713-8000.

What is Samantha Breyfogle's specialty?

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

Is Samantha Breyfogle enrolled in Medicare?

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

Which organizations bill Medicare for Samantha Breyfogle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Breyfogle reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Fayetteville, AR) and Natural State Counseling Centers (Rogers, AR). Each 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 Breyfogle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Breyfogle accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Samantha Breyfogle 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 Breyfogle was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.