Individual provider Active NPI

Samantha Bray, LCSW

  • Clinical Social Worker
  • West Lake Hills, TX
National Provider Identifier
1871931428
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54539 Issued in TX
Practice address
3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682
Phone
(512) 636-0104
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 54539 TX Primary

Addresses

Primary practice location

3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682

Mailing address

3355 Bee Caves Rd Ste 508
West Lake Hills, TX 78746-6682
Phone (512) 636-0104

Other practice location 1

6633 E Highway 290
Suite 300
Austin, TX 78723-1172
Phone (512) 327-9494

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
54539TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bray Counseling, PLLC Current Accepting new patients
Hill Country Ocd Treatment Center Clinical PastSince Jul 24, 2022 Accepting new patients
Austinocd Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871931428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD STE 508",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466682",
            "telephone_number": "512-636-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVES RD STE 508",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466682",
            "telephone_number": "512-636-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6633 E Highway 290",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787231172",
            "country_code": "US",
            "telephone_number": "512-327-9494",
            "fax_number": "512-637-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.