MISS SAMANTHA DAWN WEAVER
NPI 1952991754
Counselor - Mental Health in Malone, NY

Active since January 25, 2021PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Jan 25, 2021 (2 updates tracked since 2021).

About Miss Samantha Dawn Weaver NPPES

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

MISS SAMANTHA DAWN WEAVER (NPI 1952991754) is an individual mental health provider in Malone, New York and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saranac Lake, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1952991754
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS SAMANTHA DAWN WEAVER
Location Address15 4TH STMalone, NY 12953-1340
Mailing Address395 Seymour RdWest Chazy, NY 12992-2324 · (518) 534-0135
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 25, 2021
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
NPI 1952991754 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
15 4TH ST, Malone, NY 12953

Secondary Practice Location 1

Location 170 Edgewood RdSaranac Lake, NY 12983-1537 · Phone (518) 891-5535

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Miss Samantha Dawn Weaver 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 ID5991230914
PECOS Enrollment IDI20241127000193
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.

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.

Registered Nurse
15 4TH ST
MALONE, NY 12953
Peer Specialist
15 4TH ST
MALONE, NY 12953
Peer Specialist
15 4TH ST
MALONE, NY 12953
Community/Behavioral Health
15 4TH ST
MALONE, NY 12953
Health and Wellness Coach
15 4TH ST
MALONE, NY 12953
Peer Specialist
15 4TH ST
MALONE, NY 12953
Registered Nurse (Psychiatric/Mental Health, Adult)
15 4TH ST
MALONE, NY 12953
Nurse Practitioner (Adult Health)
15 4TH ST
MALONE, NY 12953

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 Weaver's NPI number?

The NPI number for Samantha Weaver is 1952991754. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Samantha Weaver located?

Samantha Weaver practices at 15 4th St, Malone, NY 12953. The listed phone number is (518) 481-8160.

What is Samantha Weaver's specialty?

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

Is Samantha Weaver enrolled in Medicare?

Yes. Samantha Weaver 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.

When was this NPI record last updated?

The NPPES record for Samantha Weaver was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.