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MARISELA SAMPLE LPC
NPI 1396470357
Counselor - Professional in Midland, TX

Active since July 22, 2022PECOS Enrolled
801 E FLORIDA AVE, MIDLAND, TX 79701(432) 685-0450 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marisela Sample Lpc NPPES

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

MARISELA SAMPLE LPC (NPI 1396470357) is an individual professional provider in Midland, Texas, licensed in Texas (80241) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396470357
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISELA SAMPLECredential: LPC
Location Address801 E FLORIDA AVEMidland, TX 79701-8212
Mailing Address1409 Laguna Meadows TrlMidland, TX 79705-2094 · (432) 559-8689
Phone(432) 685-0450
Sole ProprietorYes
Enumeration DateJuly 22, 2022
NPPES CertifiedJuly 22, 2022
✔ NPI 1396470357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 80241
801 E FLORIDA AVE, Midland, TX 79701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisela Sample Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marisela Sample reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midland Community Healthcare Services
Same address
Federally Qualified Health Center (FQHC)
801 E FLORIDA AVE
Midland, TX 79701
  • Reassigned Medicare billing, Texas enrollment
  • 30 clinicians in this Medicare group
NPI 1235225087 (432) 685-0450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELLIOT MICHAEL AYOUB D.D.S.
Dentist
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 687-7068
LAUREL D CLEMENT LPC
Counselor (Professional)
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 685-0450
DR. MICHAEL OKOYE D.O., M.D
Internal Medicine
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 685-0450
MIDLAND COMMUNITY HEALTHCARE SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 685-0450
LAURA ANN CRALLE GNP
Nurse Practitioner
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 685-0450
XIAOLI WANG
Counselor (Professional)
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 685-0450
DR. KHADIJAH A ABDURRAZAQ M.D, FAAP
Pediatrics
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 685-0450
MIDLAND COMMUNITY HEALTHCARE SERVICES
Dentist (General Practice)
801 E FLORIDA AVE
MIDLAND, TX 79701
Midland County (432) 687-7068

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 Marisela Sample's NPI number?

The NPI number for Marisela Sample is 1396470357. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Marisela Sample located?

Marisela Sample practices at 801 E Florida Ave, Midland, TX 79701. The listed phone number is (432) 685-0450.

What is Marisela Sample's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marisela Sample enrolled in Medicare?

Yes. Marisela Sample is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisela Sample's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisela Sample reassigns Medicare benefits to Midland Community Healthcare Services (Midland, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisela Sample's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisela Sample accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Marisela Sample as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marisela Sample was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.