Individual provider Active NPI

Samantha Joan Humphreys, LPC

  • Professional Counselor
  • Weslaco, TX
National Provider Identifier
1497114565
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91270 Issued in TX
Practice address
105 E 3Rd St
Weslaco, TX 78596-6101
Phone
(956) 261-5311
Fax
(956) 999-8456
NPI assigned
Feb 18, 2016
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13266 TX
Professional Counselor 101YP2500X 91270 TX Primary

Addresses

Primary practice location

105 E 3Rd St
Weslaco, TX 78596-6101

Mailing address

105 E 3Rd St
Weslaco, TX 78596-6101
Phone (956) 261-5311

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260608002277 TX Practitioner - Mental Health Counselor 7416428784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

105 E 3Rd St
Weslaco, TX 78596-6101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
91270TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Healing Centre LLC Professional CurrentSince May 7, 2026 Accepting new patients
Healing Centre PastSince May 7, 2026 Accepting new patients

Locations

105 E 3rd St
Weslaco, TX 78596
Phone (956) 261-5311

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1497114565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 3RD ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966101",
            "telephone_number": "956-261-5311",
            "fax_number": "956-999-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 3RD ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966101",
            "telephone_number": "956-261-5311",
            "fax_number": "956-999-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "SAMANTHA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13266",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "91270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.