Active NPI
Rachel Lisa Samuel-Koshy, L.C.S.W.
- Clinical Social Worker
- Katy, TX
National Provider Identifier
1124492533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29657
- Practice address
- 24646 Kingsland Blvd.
Cinco Ranch Behavioral Health
Katy, TX 77494 - Phone
- (281) 665-7346
- Fax
- (281) 674-8422
- NPI assigned
- Nov 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29657 | TX | Primary |
Addresses
Primary practice location
24646 Kingsland Blvd.
Cinco Ranch Behavioral Health
Katy, TX 77494
Mailing address
24646 Kingsland Blvd.
Cinco Ranch Behavioral Health
Katy, TX 77494
Phone (281) 665-7346
Other names 1
- Rachel Lisa Samuel
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29657 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1124492533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24646 KINGSLAND BLVD.",
"address_2": "CINCO RANCH BEHAVIORAL HEALTH",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-665-7346",
"fax_number": "281-674-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24646 KINGSLAND BLVD.",
"address_2": "CINCO RANCH BEHAVIORAL HEALTH",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-665-7346",
"fax_number": "281-674-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL-KOSHY",
"first_name": "RACHEL",
"middle_name": "LISA",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "29657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "SAMUEL",
"middle_name": "LISA",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.