Active NPI
Tinisha Kiara Samuel, MRC, CRC, LPC
- Professional Counselor
- Arlington, TX
National Provider Identifier
1356975908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78821
- Practice address
- 5230 Villa Mar Dr Apt 1920
Arlington, TX 76017-7534 - Phone
- (469) 432-4200
- NPI assigned
- Feb 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78821 | TX | Primary |
Addresses
Primary practice location
5230 Villa Mar Dr Apt 1920
Arlington, TX 76017-7534
Mailing address
5230 Villa Mar Dr Apt 1920
Arlington, TX 76017-7534
Phone (469) 432-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78821 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| More Than Enough Counseling & Wellness LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Mansfield, TX
- NPI 1235099391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1356975908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 VILLA MAR DR APT 1920",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760177534",
"telephone_number": "469-432-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 VILLA MAR DR APT 1920",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760177534",
"telephone_number": "469-432-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "TINISHA",
"middle_name": "KIARA",
"credential": "MRC, CRC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-22",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.