Individual provider Active NPI

Rebecca Rose Sametz

  • Counselor
  • Lubbock, TX
National Provider Identifier
1851859524
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401015313 Issued in MI
Practice address
3601 4TH St Stop 6225
Lubbock, TX 79430-6225
Phone
(806) 241-7286
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401015313 MI Primary

Addresses

Primary practice location

3601 4TH St Stop 6225
Lubbock, TX 79430-6225

Mailing address

4904 Itasca St
Lubbock, TX 79416-1223
Phone (806) 241-7286

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.sametz@ttuhsc.edu Direct

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

State licenses

LicenseStateTypeSpecialty
6401015313MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1851859524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 ITASCA ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161223",
            "telephone_number": "806-241-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 6225",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794306225",
            "telephone_number": "806-241-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMETZ",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.sametz@ttuhsc.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3601 4th St Stop 6225",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794306225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.