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Samantha Joy Donovan , LPC

Counselor - Professional β€’ Springfield, IL

Active NPI 1679968283 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

5230 6th Street Frontage Rd E
Springfield, IL 627035128

Call 2175851180 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5230 6th Street Frontage Rd E

Springfield, IL 627035128

Telephone 2175851180
Organization at the Same NPPES Address or Phone
Springfield Hospital, Inc. Facility NPI 1033397138

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Springfield, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Anchor Health Counseling Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2014

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samantha Donovan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Samantha Donovan as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Illinois

186 active clinicians are listed under Counselor - Professional with a practice address in Springfield, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

3.8% of these 186 clinicians have the CMS telehealth indicator.

15.1% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 178.010877
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260327002308

Enrollment State Jurisdiction

IL

PECOS Control ID

8123503158

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Anchor Health Counseling Llc

89 Evergreen Ct, Deerfield, IL 600155066

Phone: 7733074501

Secondary Practice Locations

975 S Durkin Dr Ste 202

Springfield, IL 627048906

Phone: 2177269882

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Amy Yeates , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1477911634

Doctor of Nursing Practice

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 05, 2018

Registered at 5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 627035128 (Tel: 2175851180)

πŸ“
Updated Business Mailing Address February 05, 2018

Registered at PO BOX 51, MANCHESTER, IL 626630051 (Tel: 2178832282)

πŸ‘€
Provider Name / Credentials Updated February 05, 2018

Recorded as SAMANTHA DONOVAN, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Counselor (license number reported to NPPES: IL 178.010877)

βœ…
NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 31, 2015

Registered at 975 S DURKIN DR STE 202, SPRINGFIELD, IL 627048906 (Tel: 2177269882)

πŸ“
Business Mailing Address (Initial Record) March 31, 2015

Registered at PO BOX 51, MANCHESTER, IL 626630051 (Tel: 2178832282)

πŸ‘€
Provider Name / Credentials (Initial Record) March 31, 2015

Recorded as SAMANTHA JOHNS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Counselor (license number reported to NPPES: IL 178.010877)

🟒
Initial NPI Registration & Enumeration March 31, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679968283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2015
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 51

Manchester, IL 626630051

Phone: 2178832282

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.