SAM JOHN LPC
NPI 1538660816
Counselor in Richardson, TX

Q: What is Sam John's NPI number?

The NPI number for Sam John is 1538660816. It was assigned to this individual provider in the NPPES registry on February 22, 2018.

Q: What is Sam John's specialty?

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

Q: Is Sam John enrolled in Medicare?

No. Sam John has opted out of Medicare through January 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sam John was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 22, 2018Opted out of Medicare · through Jan 31, 2028

101 W RENNER RD STE 220, RICHARDSON, TX 75082(972) 441-4432 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Sam John Lpc NPPES

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

SAM JOHN LPC (NPI 1538660816) is an individual counselor in Richardson, Texas, licensed in Texas (72753) and active in the NPI registry since February 2018. He has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1538660816

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameSAM JOHNCredential: LPC

Location Address101 W RENNER RD STE 220Richardson, TX 75082-2081

Mailing Address442 Southridge WayIrving, TX 75063-4299

Phone(972) 441-4432

Sole ProprietorYes

Enumeration DateFebruary 22, 2018

✔ NPI 1538660816 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 · 72753

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.

101 W RENNER RD STE 220, Richardson, TX 75082

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sam John Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024

Opt-Out In Effect ThroughJanuary 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

BOWEN COUNSELING SOLUTIONS, PLLC

Counselor (Professional)