1. Home
  2. Directory
  3. Texas
  4. Tyler
  5. Counselor
  6. NPI Profile

SAMARA SHIELDS
NPI 1386389369
Counselor in Tyler, TX

Active since May 03, 2022
1306 S GLENWOOD BLVD, TYLER, TX 75701(806) 463-9948 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samara Shields NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMARA SHIELDS (NPI 1386389369) is an individual counselor in Tyler, Texas, licensed in Texas (73938) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1386389369
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMARA SHIELDS
Location Address1306 S GLENWOOD BLVDTyler, TX 75701-2740
Mailing Address1306 S Glenwood BlvdTyler, TX 75701-2740 · (806) 463-9948
Phone(806) 463-9948
Sole ProprietorYes
Enumeration DateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1386389369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in TX · 73938
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1306 S GLENWOOD BLVD, Tyler, TX 75701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samara Shields's NPI number?

The NPI number for Samara Shields is 1386389369. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Samara Shields located?

Samara Shields practices at 1306 S Glenwood Blvd, Tyler, TX 75701. The listed phone number is (806) 463-9948.

What is Samara Shields's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Samara Shields was last updated on May 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.