Sam Wegman, MS, LPCP INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

83485 Issued in TX

Practice address

20031 W Lake Houston Pkwy Ste 400
Humble, TX 77346-3462

Phone

(832) 233-3086

Fax

(832) 415-3050

NPI assigned

Jun 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Kbccms, LLC

  • Professional Counselor
  • Oxford, MS
  • NPI 1841899978
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1962028381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5857",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773255857",
            "telephone_number": "832-233-3086",
            "fax_number": "832-415-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20031 W LAKE HOUSTON PKWY STE 400",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463462",
            "telephone_number": "832-233-3086",
            "fax_number": "832-415-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMAN",
        "first_name": "SAM",
        "credential": "MS, LPCP INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC-IINTERN",
            "identifier": "83485",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adonna Weaver
• Shaun Weaver, MD
• Gia-Caroline A Weber
• Tierra Webster
• William Kirk Webster, D.D.S.
• Chik-Fong Wei, M.D.
• Edward Wei, M.D
• Wellness Center
• James Darrick Wells, M.D.
• Wellspire Cardiology, PLLC

• Mental Health Counselor in Humble, TX
• Providers in Humble, 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 Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.