Samantha Klassen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

72176 Issued in TX

Practice address

3733 S Port Ave
Corpus Christi, TX 78415-4532

Phone

(361) 886-4628

Fax

(361) 851-8874

NPI assigned

Feb 29, 2016

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

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 and National Provider Directory roles.

• McKinney Foundations Counseling

  • Mental Health Counselor
  • Allen, TX
  • NPI 1043738180
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1811357296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154532",
            "telephone_number": "361-886-4628",
            "fax_number": "361-851-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S PORT AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784154532",
            "telephone_number": "361-886-4628",
            "fax_number": "361-851-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASSEN",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "72176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Kissinger
• Crystal Shay Kitchen, LPC
• Burton A Kittay, PHD.
• Gerald D Kizerian, PHD
• Klair Medical PLLC
• Jamie Diane Klemenhagen, MA, LMFT
• Danielle Marie Kleppe, MD
• Scott Kleppe, D.O.
• Justin John Klimisch, MD
• Albert C Kline, DPM

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.