Derynne Samson , LMHC
Counselor - Mental Health β’ Bothell, WA
20017 102nd Ct Ne
Bothell, WA 980112456
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
20017 102nd Ct Ne
Bothell, WA 980112456
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Counselor - Mental Health: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2021
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Bothell and Washington
122 active clinicians are listed under Counselor - Mental Health with a practice address in Bothell, WA (18,104 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bothell
1.6% of these 122 clinicians have the CMS telehealth indicator.
2.5% of these 122 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
Self-certified to NPPES: 2024-07-02NUCC Taxonomy Code: 101YM0800X
NUCC Taxonomy Code: 101Y00000X
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.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 20017 102ND CT NE, BOTHELL, WA 980112456 (Tel: 7147947574)
Registered at 20017 102ND CT NE, BOTHELL, WA 980112456 (Tel: 7147947574)
Registered at 5763 S OAKLAWN PL, SEATTLE, WA 981183048 (Tel: 7147947574)
Registered at 5763 S OAKLAWN PL, SEATTLE, WA 981183048 (Tel: 7147947574)
Recorded as DERYNNE SAMSON, LMHC
NPI status registered as active in NPPES database
Registered at 3857 MARTIN WAY E, OLYMPIA, WA 985065268 (Tel: 3607047170)
Registered at 3857 MARTIN WAY E, OLYMPIA, WA 985065268 (Tel: 3607047170)
Recorded as DERYNNE SAMSON
Counselor
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
20017 102nd Ct Ne
Bothell, WA 980112456
Phone: 7147947574