Willliam Ralph Samuel

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1304 Issued in AL

Practice address

1011 S Railroad St
Phenix City, AL 36867-6220

Phone

(334) 291-6363

Fax

(334) 291-6399

NPI assigned

Sep 25, 2008

Last updated

Sep 25, 2008By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tuskegee, AL
  • NPI 1952701112
  NPD (past)
• Teens Empowerment Awareness With Resolutions, Inc

  dba TEARS, Inc

  • Community/Behavioral Health Agency
  • Phenix City, AL
  • NPI 1801045117
  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1730339706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S RAILROAD ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676220",
            "telephone_number": "334-291-6363",
            "fax_number": "334-291-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 S RAILROAD ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676220",
            "telephone_number": "334-291-6363",
            "fax_number": "334-291-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "WILLLIAM",
        "middle_name": "RALPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell County Health Dept Prev Health Ed
• Russell County Health Dept Pri Care
• Russell County Health Dept STD
• Russell County Health Dept VFC Immun
• Safe Landing for Veterans
• Debra Ann Schilling, MD
• Michael L Schreiber, DO
• Conli April Schwarz, DO
• Bethany Christiane Scott
• Senior Care of Alabama, L.L.C.

• Counselor in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.