Samantha Breyfogle, LPC, LMFT in Fayetteville, AR

Samantha Breyfogle, LPC, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Fayetteville, Arkansas. Her current practice location is 3425 N Futrall Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 713-8000.

Samantha Breyfogle is licensed to practice in Arkansas (license number P2405006) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922836394.

Contact Information

	Samantha Breyfogle, LPC, LMFT
	3425 N Futrall Dr, Fayetteville, AR 72703-4811
	(479) 713-8000
	(479) 713-8375

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Breyfogle
Gender	Female
Speciality	Counselor - Mental Health
Location	3425 N Futrall Dr, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922836394
Provider Enumeration Date: 07/25/2024
Last Update Date: 03/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6002341674
Enrollment ID: I20241120001749

Medical Identifiers

Medical identifiers for Samantha Breyfogle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922836394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	M2406004 (Arkansas)	Secondary
101YM0800X	Counselor - Mental Health	P2405006 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Breyfogle allows following entities to bill medicare on her behalf.

Entity Name	Natural State Counseling Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497538383 PECOS PAC ID: 3779936497 Enrollment ID: O20240130001327

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Breyfogle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Breyfogle, LPC, LMFT 1900 Kimbrough St Apt A, Springdale, AR 72762-1523 Ph: (479) 800-1555	Samantha Breyfogle, LPC, LMFT 3425 N Futrall Dr, Fayetteville, AR 72703-4811 Ph: (479) 713-8000

Reviews and Comments

Counselor in Fayetteville, AR

Nancy S Kay, RN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2894 N Mckee Cir Ste 116, Fayetteville, AR 72703 Phone: 479-225-1111
Jaclyn Mcmillan, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2153 E Joyce Blvd, Suite 201, Fayetteville, AR 72703 Phone: 479-575-9471 Fax: 479-587-9392
Alexandra Gackle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 S College Ave Ste 4a, Fayetteville, AR 72701 Phone: 913-669-8795
Ms. Lois Faye Jacoby, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Bldg 44, Fayetteville, AR 72703 Phone: 479-444-5078
Robert Lee Walton Iii, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 720-217-7596
Lenore Henderson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4253 N Crossover Rd, Fayetteville, AR 72703 Phone: 479-443-6496 Fax: 479-443-2519
Tierra Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 W Sunbridge Dr Ste 5, Fayetteville, AR 72703 Phone: 479-900-2455

Samantha Breyfogle, LPC, LMFT - Medicare Counselor in Fayetteville, AR