NPIMap

Organization Active NPI

Samantha Siegel, LPC

  • Community/Behavioral Health Agency
  • Colleyville, TX
National Provider Identifier
1356655112
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
63713 Issued in TX
Legal business name
SAMANTHA SIEGEL, LPC
Practice address
5209 Heritage Ave
Suite 210
Colleyville, TX 76034-5987
Phone
(817) 545-7100
Fax
(817) 545-4555
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Samantha Bryn Siegel, M.S., M.ED.NPI 1609109909
Title
LPC
Phone
(972) 400-0487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 63713 TX Primary

Addresses

Primary practice location

5209 Heritage Ave
Suite 210
Colleyville, TX 76034-5987

Mailing address

5209 Heritage Ave
Suite 210
Colleyville, TX 76034-5987
Phone (817) 545-7100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1356655112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 HERITAGE AVE",
            "address_2": "SUITE 210",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345987",
            "telephone_number": "817-545-7100",
            "fax_number": "817-545-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 HERITAGE AVE",
            "address_2": "SUITE 210",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345987",
            "telephone_number": "817-545-7100",
            "fax_number": "817-545-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA SIEGEL, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "BRYN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "972-400-0487",
        "authorized_official_credential": "M.S., M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "63713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.