Marla Sample, MED, LPC, RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80026 Issued in TX

Practice address

606 N Wells St
Edna, TX 77957-2719

Phone

(361) 782-1576

Fax

(361) 298-2363

NPI assigned

Apr 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Sunshine Play Therapy and Counseling

  • Professional Counselor
  • Edna, TX
  • NPI 1982317517
  NPD Authorized official
• Reclamation Counseling Center, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Victoria, TX
  • NPI 1780053579
  NPD (past)
• Reclamation Counseling Center, PC

  • Professional Counselor
  • Victoria, TX
  • NPI 1922117910
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1124648027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SARAH ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779573451",
            "telephone_number": "361-782-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779572719",
            "telephone_number": "361-782-1576",
            "fax_number": "361-298-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "MARLA",
        "credential": "MED, LPC, RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sunshineplaytherapyinedna@gmail.com",
            "affiliation": "N",
            "address_1": "606 N Wells St",
            "city": "Edna",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779572719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Pierce, FNP
• Rebecca Marie Powell
• Molly Breanne Quinn-Frankel, MD
• Shelby Belen Rendon, RPHT
• Shadaan Aslam Rupani, DDS
• Jose Antonio Sanchez, PHARMD
• Select Physical Therapy Holdings Inc
• Dawn Sheblak
• Elizabeth Sommerfeld, M.S., R.D., L.D.
• Southbrooke Manor Nursing and Rehabilitation Center, Inc

• Professional Counselor in Edna, TX
• Providers in Edna, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.