Organization Active NPI

Safe Space Therapeutic, PLLC

  • Clinical Social Worker
  • Cypress, TX
National Provider Identifier
1710581707
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAFE SPACE THERAPEUTIC, PLLC
Practice address
17110 House Hahl Rd., Suite C-09
Suite C 09
Cypress, TX 77433-7946
Phone
(832) 422-8356
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jaclyn Danielle Satchel, LCSWNPI 1164084794
Title
Owner/Operator
Phone
(832) 422-8356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

17110 House Hahl Rd., Suite C-09
Suite C 09
Cypress, TX 77433-7946

Mailing address

12323 Johns Purchase CT
Cypress, TX 77433-2154
Phone (832) 422-8356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231013000724 TX Part B Supplier - Clinic/Group Practice 8224483060 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX

National Provider Directory

National Provider Directory

Locations

17110 House Hahl Rd
Ste C-9
Cypress, TX 77433
Phone (281) 989-3373

16635 Spring Cypress Rd
Unit 2398
Cypress, TX 77410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1710581707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12323 JOHNS PURCHASE CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332154",
            "telephone_number": "832-422-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 HOUSE HAHL RD., SUITE C-09",
            "address_2": "SUITE C 09",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337946",
            "telephone_number": "832-422-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE THERAPEUTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "SATCHEL",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "832-422-8356",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.