Marisela Sample, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80241 Issued in TX

Practice address

801 E Florida Ave
Midland, TX 79701-8212

Phone

(432) 685-0450

NPI assigned

Jul 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marisela.sample@midchs.eclinicaldirectplus.com

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.

• Midland Community Healthcare Services

  • Federally Qualified Health Center (FQHC)
  • Midland, TX
  • NPI 1235225087
  Medicare reassignment NPD
• Midland Community Healthcare Services

  • Family Medicine Physician
  • Midland, TX
  • NPI 1396142931
  NPD

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1396470357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 LAGUNA MEADOWS TRL",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797052094",
            "telephone_number": "432-559-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E FLORIDA AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797018212",
            "telephone_number": "432-685-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "MARISELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayan Salih, PA-S
• Lisa Michelle Salinas, PHARMD, RPH
• Erika Alfaro Salvo, PA-C
• Sam Dental PLLC
• Sam'S Club Optical
• Sams East Inc
• Courtney Samsel
• Marena Samuelson, PA-S
• Veronica Sanchez-Bernuy, DDS
• Joevany Sanchez

• Professional Counselor in Midland, TX
• Providers in Midland, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.