Individual provider Active NPI

Samantha Bryn Siegel, M.S., M.ED.

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1609109909
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63713 Issued in TX
Practice address
7557 Rambler Rd Ste 425
Dallas, TX 75231-2393
Phone
(214) 383-8145
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63713 TX Primary

Addresses

Primary practice location

7557 Rambler Rd Ste 425
Dallas, TX 75231-2393

Mailing address

7557 Rambler Rd Ste 425
Dallas, TX 75231-2393
Phone (214) 383-8145

Other practice location 1

5209 Heritage Ave
Suite 210
Colleyville, TX 76034-5987
Phone (817) 545-7100

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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
63713TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria 'Maggie' Orona, LPC-S, PLLC Past Accepting new patients
Behavioral Health Dallas, PLLC PastSince Jul 24, 2022 Accepting new patients
Samantha Siegel, LPC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1609109909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD STE 425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312393",
            "telephone_number": "214-383-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD STE 425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312393",
            "telephone_number": "214-383-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5209 Heritage Ave",
            "address_2": "SUITE 210",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760345987",
            "country_code": "US",
            "telephone_number": "817-545-7100",
            "fax_number": "817-545-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "SAMANTHA",
        "middle_name": "BRYN",
        "credential": "M.S., M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.