Supritha Sampath, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89306 Issued in TX

Practice address

500 W Whitestone Blvd Ste 105
Cedar Park, TX 78613-2271

Phone

(512) 859-5729

NPI assigned

Nov 12, 2020

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Center LLC,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1427786482
  Medicare reassignment Care Compare group NPD
• Four Falls Cedar Park PLLC

  dba Unique Mental Health

  • Mental Health Counselor
  • Leander, TX
  • NPI 1548966864
  Medicare reassignment NPD
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Mental Health

  NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1669074860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WHITESTONE BLVD STE 105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132271",
            "telephone_number": "512-859-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WHITESTONE BLVD STE 105",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132271",
            "telephone_number": "512-859-5729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3613 Williams Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786281369",
            "country_code": "US",
            "telephone_number": "512-400-4247 x6",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Whitestone Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132271",
            "country_code": "US",
            "telephone_number": "512-859-7529",
            "fax_number": "737-252-5011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPATH",
        "first_name": "SUPRITHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Salsbery
• Samantha Serbin PLLC
• Samantha Stokesberry, LLC (Momentum Counseling & Consulting)
• Samos Laboratory LLC
• Meera Patel Sampat, OD
• San Gabriel Family Medicine, PLLC
• Maria San Martin
• Carina Sanders
• Kimberly Kay Sandoval, R.PH.
• Katie Moriah Sanford, PHARMD

• Professional Counselor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.