Individual provider Active NPI

Samiyyah Sabur, LPC-S

  • Counselor
  • Houston, TX
National Provider Identifier
1124422134
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
72204 Issued in TX
Practice address
2802 Timmons LN # 22273
Houston, TX 77027-9998
Phone
(346) 814-4811
Fax
(832) 201-9827
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 72204 TX Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 72204 TX
Counselor 101Y00000X LPC014679 GA
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X TPMC3412 FL

Addresses

Primary practice location

2802 Timmons LN # 22273
Houston, TX 77027-9998

Mailing address

PO Box 22273
Houston, TX 77227-2273
Phone (346) 814-4811

Other identifiers 4

IdentifierTypeStateIssuer
881281737OtherGACOUNSELING
72204MedicaidTX
TPMC3412OtherFLSTATE OF FLORIDA
72204OtherTXSTATE OF TEXAS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.yourpeaceonpurpose.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128003732 TX Practitioner - Mental Health Counselor 5799214235 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC3412FLMDCounselor
LPC014679GAMDCounselor
72204TXMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Peace on Purpose PLLC Counselor CurrentSince Jun 25, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

2802 Timmons Ln
#22273
Houston, TX 77027
Phone (346) 814-4811

712 Wilcrest Dr
Houston, TX 77042
Phone (325) 326-0585

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": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1124422134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22273",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772272273",
            "telephone_number": "346-814-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 TIMMONS LN # 22273",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279998",
            "telephone_number": "346-814-4811",
            "fax_number": "832-201-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABUR",
        "first_name": "SAMIYYAH",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "72204",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72204",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC014679",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "TPMC3412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING",
            "identifier": "881281737",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "TPMC3412",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS",
            "identifier": "72204",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yourpeaceonpurpose.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2802 Timmons Ln # 22273",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770279998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.