SAMANTHA DEATON – Counselor, NPI 1194125179

SAMANTHA DEATON is a healthcare provider. based in Puyallup, Washington. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. LF61098824 (WA). The NPI Number for SAMANTHA DEATON is 1194125179

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA DEATON
NPI
1194125179
Phone
Not provided
Address
325 E PIONEER
Enumeration Date
27 August 2014
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607059835
Graduation Year
2015 (11 years ago)
PAC ID
1557896693
Group Practice PAC ID
1052846854
Professional Enrollment ID
I20241126001139
Address ID
WA985066104OL3627XNEXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

246 MARRIAGE AND FAMILY THERAPIST in WA

Provider Addresses for SAMANTHA DEATON

  • 325 E PIONEER

    PUYALLUP, WA 983723265

    Phone:

    Type: Mailing

  • 3627 ENSIGN RD NE STE B

    LACEY, WA 985066104

    Phone: (360) 705-9835

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241126001139IMarriage And Family TherapistWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98372)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052846854View full group profile
NameSpecialtyState
Mental Health CounselorWA
Mental Health CounselorWA

Reviews

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Frequently asked questions

Can I use this page to confirm SAMANTHA DEATON's NPI?
Yes. SAMANTHA DEATON is listed with NPI 1194125179 in the public NPI dataset.
Can I rely on SAMANTHA DEATON being an active provider?
As of the registry snapshot, SAMANTHA DEATON is marked active.
What taxonomy line describes SAMANTHA DEATON?
For research purposes, treat SAMANTHA DEATON as Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does SAMANTHA DEATON serve?
SAMANTHA DEATON's listing highlights Puyallup, Washington; more addresses can appear in NPPES.
Is the information about SAMANTHA DEATON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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