Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL ELIJAH THIBODEAUX
NPI 1548008162
Counselor - Addiction (Substance Use Disorder) in Anaheim, CA

Active since July 17, 2024
601 S HARBOR BLVD, ANAHEIM, CA 92805(714) 908-0028 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 17, 2024 (2 updates tracked since 2024).

About Samuel Elijah Thibodeaux NPPES

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

SAMUEL ELIJAH THIBODEAUX (NPI 1548008162) is an individual addiction (substance use disorder) provider in Anaheim, California and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1548008162
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSAMUEL ELIJAH THIBODEAUX
Location Address601 S HARBOR BLVDAnaheim, CA 92805-4521
Mailing Address16662 Irby LnHuntington Beach, CA 92647-4919 · (737) 318-5140
Sole ProprietorNo
Enumeration DateJuly 17, 2024
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1548008162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
601 S HARBOR BLVD, Anaheim, CA 92805

Other Providers at the Same Location NPPES 8

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

Counselor (Addiction (Substance Use Disorder))
601 S HARBOR BLVD
ANAHEIM, CA 92805
Counselor (Addiction (Substance Use Disorder))
601 S HARBOR BLVD
ANAHEIM, CA 92805
Marriage & Family Therapist
601 S HARBOR BLVD
ANAHEIM, CA 92805
Counselor (Addiction (Substance Use Disorder))
601 S HARBOR BLVD
ANAHEIM, CA 92805
Counselor (Addiction (Substance Use Disorder))
601 S HARBOR BLVD
ANAHEIM, CA 92805
Counselor (Addiction (Substance Use Disorder))
601 S HARBOR BLVD
ANAHEIM, CA 92805
Counselor (Addiction (Substance Use Disorder))
601 S HARBOR BLVD
ANAHEIM, CA 92805
Counselor (Addiction (Substance Use Disorder))
601 S HARBOR BLVD
ANAHEIM, CA 92805

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 Samuel Thibodeaux's NPI number?

The NPI number for Samuel Thibodeaux is 1548008162. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Where is Samuel Thibodeaux located?

Samuel Thibodeaux practices at 601 S Harbor Blvd, Anaheim, CA 92805. The listed phone number is (714) 908-0028.

What is Samuel Thibodeaux's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samuel Thibodeaux was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.