NPIMap

Organization Active NPI

Samaritan Counseling Center of Southeast Texas

  • Counselor
  • Port Arthur, TX
National Provider Identifier
1316909799
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SAMARITAN COUNSELING CENTER OF SOUTHEAST TEXAS
Practice address
7980 Anchor Dr BLDG 500
Port Arthur, TX 77642-8285
Phone
(409) 727-6400
Fax
(409) 727-6403
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Ms. Robin E McCutcheon, MED
Title
Executive Director
Phone
(409) 727-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

7980 Anchor Dr BLDG 500
Port Arthur, TX 77642-8285

Mailing address

7980 Anchor Dr BLDG 500
Port Arthur, TX 77642-8285
Phone (409) 727-6400

Other practice location 1

1305 Roosevelt Dr
Silsbee, TX 77656-3309
Phone (409) 727-6400

Other practice location 2

1350 N 23rd St
Beaumont, TX 77706-3603
Phone (409) 727-6400

Other practice location 3

502 6th St
Orange, TX 77630-5740
Phone (409) 727-6400

Other identifiers 3

IdentifierTypeStateIssuer
150454002MedicaidTX
348535-000OtherTXMAGELLAN
0033GZOtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050519000290 TX Part B Supplier - Clinic/Group Practice 9830130954 Receives reassigned benefits from 5 practitioners
Practice locations: Orange, TX; Port Arthur, TX; Silsbee, TX; Beaumont, TX

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.

Locations

1350 N 23rd St
Beaumont, TX 77706
Phone (409) 727-6400

502 6th St
Orange, TX 77630
Phone (409) 727-6400

7980 Anchor Dr
Ste 500
Port Arthur, TX 77642
Phone (409) 727-6400

755 N 4th St
Silsbee, TX 77656
Phone (409) 385-3347

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1316909799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR BLDG 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 ANCHOR DR BLDG 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776428285",
            "telephone_number": "409-727-6400",
            "fax_number": "409-727-6403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Roosevelt Dr",
            "address_purpose": "LOCATION",
            "city": "Silsbee",
            "state": "TX",
            "postal_code": "776563309",
            "country_code": "US",
            "telephone_number": "409-727-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 N 23rd St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777063603",
            "country_code": "US",
            "telephone_number": "409-727-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 6th St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776305740",
            "country_code": "US",
            "telephone_number": "409-727-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHEON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "409-727-6400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150454002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "348535-000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0033GZ",
            "state": "TX"
        }
    ],
    "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 Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.