1. Home
  2. Directory
  3. Ohio
  4. Lakewood
  5. Counselor
  6. NPI Profile

SAMANTHA CHADWELL
NPI 1962096719
Counselor in Lakewood, OH

Active since February 23, 2021PECOS Enrolled
14837 DETROIT AVE # 193, LAKEWOOD, OH 44107(216) 270-2904(888) 684-5911 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Chadwell NPPES

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

SAMANTHA CHADWELL (NPI 1962096719) is an individual counselor in Lakewood, Ohio and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962096719
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA CHADWELL
Location Address14837 DETROIT AVE # 193Lakewood, OH 44107-3909
Mailing Address25 Meadow StBuckhannon, WV 26201-2246 · (419) 787-7424
Phone(216) 270-2904
Fax(888) 684-5911
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 23, 2021
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1962096719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
14837 DETROIT AVE # 193, Lakewood, OH 44107
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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 Chadwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840770541
PECOS Enrollment IDI20260212002534
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 Chadwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Behavioral Health LLC
Mental Health
17415 NORTHWOOD AVE #201
Lakewood, OH 44107
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1700407517 (216) 302-4077

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 2

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

SALINA R STUART LISW
Social Worker (Clinical)
14837 DETROIT AVE # 193
LAKEWOOD, OH 44107
Cuyahoga County (216) 302-4077
DANNY MILLER
Nurse Practitioner (Psychiatric/Mental Health)
14837 DETROIT AVE # 193
LAKEWOOD, OH 44107
Cuyahoga County (216) 302-4077

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 Chadwell's NPI number?

The NPI number for Samantha Chadwell is 1962096719. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Samantha Chadwell located?

Samantha Chadwell practices at 14837 Detroit Ave # 193, Lakewood, OH 44107. The listed phone number is (216) 270-2904.

What is Samantha Chadwell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Samantha Chadwell enrolled in Medicare?

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

Which organization bills Medicare for Samantha Chadwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Chadwell reassigns Medicare benefits to Cornerstone Behavioral Health LLC (Lakewood, OH). 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 Chadwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Chadwell accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Paramount and 1 other insurer list Samantha Chadwell 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 Chadwell was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.