Active NPI
Samantha Renae Vasquez, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1124763818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 88744
- Practice address
- 2021 Guadalupe St Ste 260
Austin, TX 78705-5654 - Phone
- (682) 583-2845
- NPI assigned
- Apr 28, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 88744 | TX | Primary |
Addresses
Primary practice location
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Mailing address
5473 Blair Rd.
Ste. 100 #390921
Dallas, TX 75231-4227
Phone (817) 785-9117
Other practice location 1
5473 Blair Rd.
Ste 100 #390921
Dallas, TX 75231-4227
Phone (817) 785-9117
Other names 1
- Samantha Renae Flores
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 |
|---|---|---|---|
| 88744 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1124763818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5473 BLAIR RD.",
"address_2": "STE. 100 #390921",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314227",
"telephone_number": "817-785-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 GUADALUPE ST STE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055654",
"telephone_number": "682-583-2845"
}
],
"practiceLocations": [
{
"address_1": "5473 Blair Rd.",
"address_2": "Ste 100 #390921",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752314227",
"country_code": "US",
"telephone_number": "817-785-9117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "SAMANTHA",
"middle_name": "RENAE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-28",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "88744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "FLORES",
"middle_name": "RENAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.