Samantha Sharp, LPC-S in Wynne, AR - Medicare Counselor Provider

Samantha Sharp, LPC-S is a medicare enrolled "Counselor - Mental Health" provider in Wynne, Arkansas. Her current practice location is 1200 Bridges Ave E, Wynne, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 737-4320.

Samantha Sharp is licensed to practice in Arkansas (license number A0509071) 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 1477763126.

Contact Information

	Samantha Sharp, LPC-S
	1200 Bridges Ave E, Wynne, AR 72396-2449
	(501) 737-4320
	(870) 770-7177

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Sharp
Gender	Female
Speciality	Counselor - Mental Health
Location	1200 Bridges Ave E, Wynne, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477763126
Provider Enumeration Date: 05/23/2007
Last Update Date: 09/05/2025

Medicare PECOS Information:

PECOS PAC ID: 3779935440
Enrollment ID: I20240118000565

Medical Identifiers

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

Identifier	Type	State	Issuer
1477763126	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A0509071 (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 Sharp allows following entities to bill medicare on her behalf.

Entity Name	Changes Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114260486 PECOS PAC ID: 6103149653 Enrollment ID: O20150108001118

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 Sharp 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 Sharp, LPC-S Po Box 30022, Little Rock, AR 72260-0001 Ph: (501) 737-4320	Samantha Sharp, LPC-S 1200 Bridges Ave E, Wynne, AR 72396-2449 Ph: (501) 737-4320

Reviews and Comments

Counselor in Wynne, AR

Mrs. Millie F. Lace, MSE, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 Commercial Ave E, Wynne, AR 72396 Phone: 870-238-4329 Fax: 870-208-8935
David M Ray, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1792 Falls Blvd N, Ste. 5, Wynne, AR 72396 Phone: 870-208-9333 Fax: 870-208-9229
Tabatha Bradley, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Mississippi St S, Wynne, AR 72396 Phone: 870-208-8499
Kayla Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Bridges Ave E, Wynne, AR 72396 Phone: 870-336-1300
Katelyn Boles, LPC Counselor Medicare: Medicare Enrolled Practice Location: 206 Levesque Ave E, Wynne, AR 72396 Phone: 870-351-0312
Amanda Turnbow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1792 Falls Blvd N, Wynne, AR 72396 Phone: 870-208-9333
Thomas Clayton Hughes, LPC Counselor Medicare: Medicare Enrolled Practice Location: 619 Canal Ave E, Wynne, AR 72396 Phone: 870-587-7020 Fax: 870-587-7020

Samantha Sharp, LPC-S - Medicare Counselor in Wynne, AR