Organization Active NPI

Samantha White LPC LLC

  • Professional Counselor
  • Kaufman, TX
National Provider Identifier
1467284059
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SAMANTHA WHITE LPC LLC
Practice address
402 S Washington St Ste B
Kaufman, TX 75142-2476
Phone
(972) 932-8898
Fax
(072) 932-8890
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Samantha E White, LPCNPI 1841038098
Title
Owner, Provider
Phone
(214) 251-7281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

402 S Washington St Ste B
Kaufman, TX 75142-2476

Mailing address

4727 N State Highway 34
Kaufman, TX 75142-4466
Phone (214) 251-7281

Other names 1

  • Samantha White LPC LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240917000441 TX Part B Supplier - Clinic/Group Practice 8123569217 Receives reassigned benefits from 1 practitioner
Practice locations: Kaufman, TX

National Provider Directory

National Provider Directory

Locations

402 S Washington St
Ste B
Kaufman, TX 75142
Phone (972) 932-8898

402 S Washington St
Kaufman, TX 75142
Phone (972) 932-8898

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1467284059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 N STATE HIGHWAY 34",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751424466",
            "telephone_number": "214-251-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S WASHINGTON ST STE B",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751422476",
            "telephone_number": "972-932-8898",
            "fax_number": "072-932-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA WHITE LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "214-251-7281",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samantha White LPC LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.