NPIMap

Organization Active NPI

Interface-Samaritan Counseling Centers

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1245454768
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INTERFACE-SAMARITAN COUNSELING CENTERS
Practice address
4803 San Felipe St
Houston, TX 77056-3907
Phone
(713) 626-7990
Fax
(713) 627-7715
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Susan Arnold Lange, PH.D.
Title
Psychologist, Clinical Director
Phone
(713) 626-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4803 San Felipe St
Houston, TX 77056-3907

Mailing address

4803 San Felipe St
Houston, TX 77056-3907
Phone (713) 626-7990

National Provider Directory

National Provider Directory

Locations

4803 San Felipe St
Houston, TX 77056
Phone (713) 626-7990

6035 S Fry Rd
Katy, TX 77450
Phone (713) 626-7990

6823 Cypresswood Dr
Spring, TX 77379
Phone (281) 376-8006

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245454768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563907",
            "telephone_number": "713-626-7990",
            "fax_number": "713-627-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563907",
            "telephone_number": "713-626-7990",
            "fax_number": "713-627-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFACE-SAMARITAN COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PSYCHOLOGIST, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "713-626-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.