Samantha Paige Houston-Crook

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

130698 Issued in CA

Practice address

2558 Greenleaf St
Manteca, CA 95337-8445

Phone

(209) 541-5154

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 28, 2024 through Jan 28, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Renew Family Therapy, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manteca, CA
  • NPI 1689402653
  NPD Authorized official

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1659933133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W MAIN ST UNIT 703",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953661528",
            "telephone_number": "909-264-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 GREENLEAF ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953378445",
            "telephone_number": "209-541-5154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 W Briggsmore Ave Ste I",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953503839",
            "country_code": "US",
            "telephone_number": "209-526-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON-CROOK",
        "first_name": "SAMANTHA",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "130698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honeycomb Medical Services, a Med Corp
• Mitchell Hong, DMD
• Charles Mark Hoogendoorn, DC
• Ian Horak, DPT
• Christiane T Horman
• Howard C. Miller, D.P.M., Inc.
• Victoria Jui-Yun Hsu, M.D.
• Feng Hua, MD
• Jackie Huang
• Mike Huang, MD

• Mental Health Counselor in Manteca, CA
• Providers in Manteca, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.