Individual provider Active NPI

Glenn C Sammis, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1629083381
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8122 Issued in TX
Practice address
8546 Broadway
Suite 270
San Antonio, TX 78217-6340
Phone
(210) 860-0888
Fax
(210) 826-6106
NPI assigned
Jul 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 8122 TX Primary

Addresses

Primary practice location

8546 Broadway
Suite 270
San Antonio, TX 78217-6340

Mailing address

8546 Broadway
Suite 270
San Antonio, TX 78217-6340
Phone (210) 860-0888

Other identifiers 1

IdentifierTypeStateIssuer
164667102MedicaidTX

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

LicenseStateTypeSpecialty
8122TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629083381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 BROADWAY",
            "address_2": "SUITE 270",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176340",
            "telephone_number": "210-860-0888",
            "fax_number": "210-826-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8546 BROADWAY",
            "address_2": "SUITE 270",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176340",
            "telephone_number": "210-860-0888",
            "fax_number": "210-826-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMIS",
        "first_name": "GLENN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "8122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164667102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.