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

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

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
1881 SYLVAN AVE STE 200, DALLAS, TX 75208(214) 743-1200 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Dec 8, 2025, Jul 15, 2024 and 5 more (8 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 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629624606
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL ANTONIO ORTIZ-RODRIGUEZCredential: LPC
Location Address1881 SYLVAN AVE STE 200Dallas, TX 75208-2031
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 UpdateSeptember 30, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ 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)
1881 SYLVAN AVE STE 200, Dallas, TX 75208

Secondary Practice Locations 2

Location 11330 River Bend Dr Ste 850Dallas, TX 75247-4953 · Phone (214) 333-7076
Location 21350 N Westmoreland RdDallas, TX 75211-1654 · Phone (214) 743-1286

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Ortiz-rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
3242 REMOND DR
Dallas, TX 75211
  • Reassigned Medicare billing, Texas enrollment
  • 173 clinicians in this Medicare group

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 5

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

Counselor (Mental Health)
1881 SYLVAN AVE STE 200
DALLAS, TX 75208
Counselor (Mental Health)
1881 SYLVAN AVE STE 200
DALLAS, TX 75208
Nurse Practitioner (Psychiatric/Mental Health)
1881 SYLVAN AVE STE 200
DALLAS, TX 75208
Counselor (Professional)
1881 SYLVAN AVE STE 200
DALLAS, TX 75208
Family Medicine
1881 SYLVAN AVE STE 200
DALLAS, TX 75208

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 Ortiz-rodriguez's NPI number?

The NPI number for Samuel Ortiz-rodriguez is 1629624606. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Samuel Ortiz-rodriguez located?

Samuel Ortiz-rodriguez practices at 1881 Sylvan Ave Ste 200, Dallas, TX 75208. The listed phone number is (214) 743-1200.

What is Samuel Ortiz-rodriguez's specialty?

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

Is Samuel Ortiz-rodriguez enrolled in Medicare?

Yes. Samuel Ortiz-rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samuel Ortiz-rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Ortiz-rodriguez reassigns Medicare benefits to Dallas County Mental Health & Mental Retardation Center (Dallas, 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 Samuel Ortiz-rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Ortiz-rodriguez accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and Oscar Insurance Company list Samuel Ortiz-rodriguez 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 Samuel Ortiz-rodriguez was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.