Individual provider Active NPI

Arayla Dawn Samuel

  • Behavior Technician
  • Logansport, IN
National Provider Identifier
1376353664
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-376558 Issued in IN
Practice address
719 Spencer St
Logansport, IN 46947
Phone
(765) 210-1284
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-376558 IN Primary

Addresses

Primary practice location

719 Spencer St
Logansport, IN 46947

Mailing address

719 Spencer St
Logansport, IN 46947
Phone (765) 210-1284

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Catalyst Other Hope Behavioral Services LLC

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

State licenses

LicenseStateTypeSpecialty
RBT-24-376558INMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Servies, LLC PastSince Jan 12, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1376353664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SPENCER ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "46947",
            "telephone_number": "765-210-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SPENCER ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "46947",
            "telephone_number": "765-210-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "ARAYLA",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-24-376558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Catalyst",
            "affiliation": "Y",
            "endpointDescription": "Catalyst",
            "affiliationName": "Hope Behavioral Services LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "data collection",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "data collection",
            "address_1": "719 Spencer st",
            "city": "logansport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.