The Listening Retreat

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

72046 Issued in TX

Legal business name

THE LISTENING RETREAT

Practice address

305 Regency Pkwy
413
Mansfield, TX 76063-3794

Phone

(682) 292-8255

Fax

(682) 201-2225

NPI assigned

Sep 19, 2016

Organization subpart

No

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

Authorized official

Name

Samina Long, LPC, LCDCNPI 1225490436

Title

Owner/LPC

Phone

(405) 249-3386

Specialties & licenses 1

Addresses

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samina Long, PHD, LPC

  • Professional Counselor
  • Richardson, TX
  • NPI 1225490436
  NPD (past) Authorized official

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1982152948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 SCOTTSDALE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 REGENCY PKWY",
            "address_2": "413",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633794",
            "telephone_number": "682-292-8255",
            "fax_number": "682-201-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LISTENING RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "405-249-3386",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "72046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Calming Mind Psychiatry Group PLLC
• The Center for Oral, Facial, and Implant Surgery PA
• The Core of Compassion PLLC
• The Elder Care Place LLC
• The Jones Center for Children'S Therapy and Assessment
• The Nest Birth Center, PLLC
• The Phoenix Place PLLC
• The Refuge Counseling Resources
• Peter Theiss, MD
• Therapeutic Freedom TX LLC

• All providers in Mansfield, TX
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.