Active NPI
Samantha Kauffman, LPC-ASSOCIATE
- Professional Counselor
- Tyler, TX
National Provider Identifier
1447096888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 91431
- Practice address
- 420 S Fleishel Ave
Tyler, TX 75702-8405 - Phone
- (903) 977-0254
- NPI assigned
- Jul 4, 2024
- Last updated
- Mar 28, 2026
- 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 | 91431 | TX | Primary |
Addresses
Primary practice location
420 S Fleishel Ave
Tyler, TX 75702-8405
Mailing address
420 S Fleishel Ave
Tyler, TX 75702-8405
Phone (903) 977-0254
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
| License | State | Type | Specialty |
|---|---|---|---|
| 91431 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774656000000",
"number": "1447096888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757028405",
"telephone_number": "903-977-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757028405",
"telephone_number": "903-977-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "SAMANTHA",
"credential": "LPC-ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-04",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "91431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.