Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Wathen

Individual provider Counselor · NPI 1629426754

Samantha Wathen is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2017, 9 years ago. Practices with Mindly Group, PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

8512 Six Forks Rd Ste 101
Raleigh, NC 27615-3256
Phone: (919) 277-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 380 Suwannee Trail St, Bowling Green, KY 42103-7956 — (270) 901-5000

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13506 (NC)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence A13506 (NC)

Record details

NPI number1629426754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mindly Group, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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