Active NPI
Samantha J Hosea, LPC
- Professional Counselor
- Nacogdoches, TX
National Provider Identifier
1417533589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75717
- Practice address
- 924 N University Dr
Nacogdoches, TX 75961-4643 - Phone
- (936) 221-8740
- NPI assigned
- Mar 19, 2021
- 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 | 75717 | TX | Primary |
Addresses
Primary practice location
924 N University Dr
Nacogdoches, TX 75961-4643
Mailing address
924 N University Dr
Nacogdoches, TX 75961-4643
Phone (936) 221-8740
Other practice location 1
617 S 1st St
Lufkin, TX 75901-3933
Phone (936) 229-3606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 28, 2024 through May 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75717 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717200000000",
"number": "1417533589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614643",
"telephone_number": "936-221-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614643",
"telephone_number": "936-221-8740"
}
],
"practiceLocations": [
{
"address_1": "617 S 1st St",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759013933",
"country_code": "US",
"telephone_number": "936-229-3606",
"fax_number": "936-256-1115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOSEA",
"first_name": "SAMANTHA",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-19",
"last_updated": "2024-06-01",
"certification_date": "2024-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.