SAMUEL ANTONIO ORTIZ-RODRIGUEZ LPC
NPI 1629624606
Counselor - Professional in Dallas, TX

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
1330 RIVER BEND DR STE 850, DALLAS, TX 75247(214) 333-7076 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2025, Jul 15, 2024, Nov 15, 2023 and 4 more (7 updates tracked since 2019).

About Samuel Antonio Ortiz-rodriguez Lpc NPPES

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

SAMUEL ANTONIO ORTIZ-RODRIGUEZ LPC (NPI 1629624606) is an individual professional provider in Dallas, Texas, licensed in Texas (82119) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629624606
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL ANTONIO ORTIZ-RODRIGUEZCredential: LPC
Location Address1330 RIVER BEND DR STE 850Dallas, TX 75247-4953
Mailing Address1881 Sylvan Ave Ste 200Dallas, TX 75208-2031 · (214) 333-7060 · Fax (214) 630-3469
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 14, 2019
Last NPPES UpdateDecember 8, 20257 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
NPI 1629624606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 82119
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 82119 (TX)
1330 RIVER BEND DR STE 850, Dallas, TX 75247

Secondary Practice Location 1

Location 11881 Sylvan Ave Ste 200Dallas, TX 75208-2031 · Phone (214) 743-1200

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel Antonio Ortiz-rodriguez Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113379462
PECOS Enrollment IDI20240123000461
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.

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
1330 RIVER BEND DR STE 850
DALLAS, TX 75247
Counselor (Professional)
1330 RIVER BEND DR STE 850
DALLAS, TX 75247
Counselor (Professional)
1330 RIVER BEND DR STE 850
DALLAS, TX 75247

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629624606, enumerated as an "individual" on August 14, 2019.

The provider is located at 1330 RIVER BEND DR STE 850 DALLAS, TX 75247 and the phone number is (214) 333-7076.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Molina. Please consult your insurance carrier or call the provider to verify.