NPIMap

Organization Active NPI

Samaritan Counseling Center of Southeast Texas

  • Addiction (Substance Use Disorder) Counselor
  • Port Arthur, TX
National Provider Identifier
1306903323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6823 Issued in TX
Legal business name
SAMARITAN COUNSELING CENTER OF SOUTHEAST TEXAS
Practice address
3747 Doctors Dr
Port Arthur, TX 77642-5555
Phone
(409) 983-7668
Fax
(409) 983-4761
NPI assigned
Jan 2, 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
Kristi Vann
Title
Executive Assistant
Phone
(409) 983-7668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6823 TX Primary

Addresses

Primary practice location

3747 Doctors Dr
Port Arthur, TX 77642-5555

Mailing address

3747 Doctors Dr
Port Arthur, TX 77642-5555
Phone (409) 983-7668

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Counseling Center of Southeast Texas7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306903323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 DOCTORS DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425555",
            "telephone_number": "409-983-7668",
            "fax_number": "409-983-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 DOCTORS DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425555",
            "telephone_number": "409-983-7668",
            "fax_number": "409-983-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "409-983-7668"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, 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.