Sam John, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

72753 Issued in TX

Practice address

101 W Renner Rd Ste 220
Richardson, TX 75082-2081

Phone

(972) 441-4432

NPI assigned

Feb 22, 2018

Last updated

Feb 22, 2018By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2024 through Jan 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bowen Counseling Solutions, PLLC

  dba The Marriage Place

  • Professional Counselor
  • Richardson, TX
  • NPI 1336662121
  NPD (past)

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1538660816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 SOUTHRIDGE WAY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RENNER RD STE 220",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822081",
            "telephone_number": "972-441-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SAM",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "72753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JJ Pearce High School
• Kathryn Graham Jodry, D.D.S.
• John H Harney MD PLLC (Dallas Neurological Associates)
• John W Wilson D O P a
• John W. Beaty, PH.D.,P.C.
• Johnson Medical Associates, P.a.
• Johnson-Hyde Corp
• Alfred R. Johnson, D.O.
• Allison Johnson, PT, DPT
• Amanda Johnson

• Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.

Verify at the official NPI Registry.