Individual provider Active NPI

Samantha Sherrill, LPC

  • Mental Health Counselor
  • Schertz, TX
National Provider Identifier
1083499404
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86259 Issued in TX
Practice address
603 Main St
Schertz, TX 78154-2146
Phone
(210) 314-1606
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86259 TX Primary

Addresses

Primary practice location

603 Main St
Schertz, TX 78154-2146

Mailing address

603 Main St
Schertz, TX 78154-2146
Phone (210) 314-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
86259TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ceremonial Counseling PLLC Mental Health Current Accepting new patients
KM Counseling Services PLLC Mental Health CurrentSince Oct 21, 2024 Accepting new patients
For Every Tomorrow Project Mental Health PastSince Sep 5, 2023 Accepting new patients

Locations

603 Main St
Schertz, TX 78154
Phone (210) 314-1606

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1083499404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MAIN ST",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542146",
            "telephone_number": "210-314-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MAIN ST",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542146",
            "telephone_number": "210-314-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.