Samir H. Patel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

173147 Issued in KY

Practice address

1712 Highway 121 Byp N Ste I
Murray, KY 42071

Phone

(270) 761-5804

NPI assigned

May 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bridges Family Center, LLC

  • Professional Counselor
  • Murray, KY
  • NPI 1730467036
  NPD (past)

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1992939532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 HIGHWAY 121 BYP N STE I",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420718864",
            "telephone_number": "270-761-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 HIGHWAY 121 BYP N STE I",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-761-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAMIR",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH4756",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "173147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY STATE BOARD OF LICENSED PROFESSIONAL COUNSELORS",
            "identifier": "173147",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Park
• Rebecca Kalyn Parker-Bell, PT, DPT
• Edward S Parrish III, CRNA
• William Nall Pasco, DMD
• Stephen Darnell Passmore, PT
• Elizabeth Patterson, PMHNP-BC
• Kelly Patterson, NP
• Leah Patton, PT
• Clarence E Patty, CRNA
• Douglas William Payne, OD

• Mental Health Counselor in Murray, KY
• Providers in Murray, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.