Samantha Wathen
NPI 1629426754ActiveIndividual· Counselor, Mental Health· Raleigh, NC
Counselor, Mental Health with Mindly Group, PLLC, practicing in Raleigh, North Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1629426754 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 31, 2016 |
| Last updated in NPPES | Apr 2, 2021 |
| Certified by provider | Apr 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 13506 | NC |
| Counselor | 101Y00000X | — | — |
| Counselor, Mental Health | 101YM0800X | A13506 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NC) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Mindly Group, PLLCCary, NC · 9 clinicians
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All 1,159 mental health counselors in Raleigh · All mental health counselors in North Carolina