Samantha Pena, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203785 Issued in TX

Practice address

1821 Westinghouse Rd Ste 1150
Georgetown, TX 78626-7645

Phone

(512) 763-2186

Fax

(512) 727-6364

NPI assigned

Mar 2, 2022

Last updated

Apr 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Counseling Works LLPGroup PAC ID 8325495500, 7 clinicians

Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Center LLC,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1427786482
  Medicare reassignment Care Compare group NPD
• Alliance Counseling Works, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1619467305
  Medicare reassignment Care Compare group
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1245987007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 SANTA ROSITA DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653411",
            "telephone_number": "512-763-2186",
            "fax_number": "512-727-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WESTINGHOUSE RD STE 1150",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267645",
            "telephone_number": "512-763-2186",
            "fax_number": "512-727-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SAMANTHA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Pedrozo, CD
• Peds Center of Round Rock PA (River Ridge Pediatrics)
• Samuel B Pegram, MD
• Jacobo Pena, M.D.
• Jessica Michelle Pena, PTA
• Xin Peng
• Marla B Pennell, AUD CCC-A
• Jay Burton Pennington, M.D.
• Monique Suzanne Pepin, MSW, LCSW
• Peregrine Ventures, LLC

• Marriage & Family Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.