Samantha Renee Lynes, NCC, LCMHC, MHC, LPC
Counselor, Mental Health in Tacoma, WA. Individual provider (NPI-1).
NPI number1760027445
StatusActive
Last updated in NPPESApr 20, 2024
Details
- NPI
- 1760027445
- Entity type
- Individual (NPI-1)
- Name
- Ms. Samantha Renee Lynes
- Credential
- NCC, LCMHC, MHC, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2019
- Certification date
- Apr 20, 2024
- Last updated
- Apr 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LH61261913 | WA | Yes |
| 101YM0800X | Counselor, Mental Health | C8126 | OR | |
| 101YM0800X | Counselor, Mental Health | 15260 | NC |
Practice location
11510 19th Avenue Ct STacoma, WA 98444-1434
Phone 253-508-7857
Mailing address
1575 Lake Tapps Dr Se Apt 104Auburn, WA 98092-8774
Phone 253-508-7857
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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