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SAMANTHA PAIGE HOUSTON-CROOK
NPI 1659933133
Counselor - Mental Health in Manteca, CA

Active since July 03, 2019Opted out of Medicare · through Jan 28, 2028
2558 GREENLEAF ST, MANTECA, CA 95337(209) 541-5154 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Jul 15, 2021, Jul 3, 2019 (3 updates tracked since 2019).

About Samantha Paige Houston-crook NPPES

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

SAMANTHA PAIGE HOUSTON-CROOK (NPI 1659933133) is an individual mental health provider in Manteca, California, licensed in California (130698) and active in the NPI registry since July 2019. She has opted out of Medicare through January 28, 2028 and maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1659933133
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA PAIGE HOUSTON-CROOK
Location Address2558 GREENLEAF STManteca, CA 95337-8445
Mailing Address1275 W Main St Unit 703Ripon, CA 95366-1528 · (909) 264-8566
Phone(209) 541-5154
Sole ProprietorNo
Enumeration DateJuly 3, 2019
Last NPPES UpdateJuly 22, 20243 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1659933133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 130698
2558 GREENLEAF ST, Manteca, CA 95337
Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 W Briggsmore Ave Ste IModesto, CA 95350-3839 · Phone (209) 526-1476

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samantha Paige Houston-crook 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 28, 2024 through January 28, 2028.

Opt-Out Effective DateJanuary 28, 2024
Opt-Out In Effect ThroughJanuary 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

RENEW FAMILY THERAPY, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2558 GREENLEAF ST
MANTECA, CA 95337
San Joaquin County (209) 541-5154

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 Samantha Houston-crook's NPI number?

The NPI number for Samantha Houston-crook is 1659933133. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Samantha Houston-crook located?

Samantha Houston-crook practices at 2558 Greenleaf St, Manteca, CA 95337. The listed phone number is (209) 541-5154.

What is Samantha Houston-crook's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Samantha Houston-crook enrolled in Medicare?

No. Samantha Houston-crook has opted out of Medicare through January 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Houston-crook was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.