Active NPI
Samuel Bryan Essex
- Addiction (Substance Use Disorder) Counselor
- Beaumont, TX
National Provider Identifier
1851658405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 5545 Eastex Fwy
Beaumont, TX 77706-7077 - Phone
- (409) 790-1609
- NPI assigned
- Apr 20, 2012
- Last updated
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
5545 Eastex Fwy
Beaumont, TX 77706-7077
Mailing address
3510 Charleston LN
Beaumont, TX 77706-7242
Phone (409) 790-1609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1851658405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 CHARLESTON LN",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067242",
"telephone_number": "409-790-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5545 EASTEX FWY",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067077",
"telephone_number": "409-790-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSEX",
"first_name": "SAMUEL",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Amanda Espinoza
- Erica Esquivel
- Essene Lester M.D. P.C. (Bell Eye Center)
- Essex Brothers Management Co., L.L.C.
- Rose Anne Essex, RD
- Essilor Laboratories of America, L.P. (Omni Optical)
- Jorge Ramiez Estemcdonald, PHARM.D
- Daron Paul Etie, DDS
- Osarugue Sarah Etinfoh, PMHNP
- Etx Medical Group, PLLC (EastEx Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.