SAMANTHA MCNULTY LPC
NPI 1972095057
Counselor - Professional in Fort Collins, CO

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
4803 INNOVATION DR STE 3A, FORT COLLINS, CO 80525(303) 995-1237 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Sep 7, 2024, Feb 17, 2022 and 1 more (4 updates tracked since 2020).

About Samantha Mcnulty Lpc NPPES

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

SAMANTHA MCNULTY LPC (NPI 1972095057) is an individual professional provider in Fort Collins, Colorado, licensed in Colorado (LPC.0016667) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1972095057
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA MCNULTYCredential: LPC
Location Address4803 INNOVATION DR STE 3AFort Collins, CO 80525-7308
Mailing Address4803 Innovation Dr Ste 3aFort Collins, CO 80525-7308 · (970) 310-3406
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1972095057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · LPC.0016667
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC.0016667 (CO)
4803 INNOVATION DR STE 3A, Fort Collins, CO 80525

Other Names 1

Former Name (1)Samantha Marshall Lpc

Secondary Practice Location 1

Location 16240 S Main St Ste 265Aurora, CO 80016-5412 · Phone (720) 274-5287

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

Samantha Mcnulty Lpc 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 ID5294276945
PECOS Enrollment IDI20240920002246
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 13

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

Counselor (Professional)
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525
Social Worker (Clinical)
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525
Counselor (Mental Health)
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525
Counselor (Professional)
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525
Social Worker (Clinical)
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525
Social Worker
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525
Counselor (Professional)
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525
Counselor (Professional)
4803 INNOVATION DR STE 3A
FORT COLLINS, CO 80525

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 Mcnulty's NPI number?

The NPI number for Samantha Mcnulty is 1972095057. It was assigned to this individual provider in the NPPES registry on June 4, 2018. The provider is also known as Samantha Marshall Lpc.

Where is Samantha Mcnulty located?

Samantha Mcnulty practices at 4803 Innovation Dr Ste 3A, Fort Collins, CO 80525. The listed phone number is (303) 995-1237.

What is Samantha Mcnulty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Mcnulty enrolled in Medicare?

Yes. Samantha Mcnulty 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 Mcnulty was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.