SAMWEL KEBAYA
NPI 1780935155
Counselor - Mental Health in Longview, TX

Q: What is Samwel Kebaya's NPI number?

The NPI number for Samwel Kebaya is 1780935155. It was assigned to this individual provider in the NPPES registry on September 26, 2012.

Q: What is Samwel Kebaya's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samwel Kebaya was last updated on October 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 September 26, 2012PECOS Enrolled

1107 E MARSHALL AVE, LONGVIEW, TX 75601(903) 758-2610(903) 758-3124 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samwel Kebaya NPPES

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

SAMWEL KEBAYA (NPI 1780935155) is an individual mental health provider in Longview, Texas, licensed in Texas (83877) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780935155

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSAMWEL KEBAYA

Location Address1107 E MARSHALL AVELongview, TX 75601-5602

Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 758-3124

Phone(903) 758-2610

Fax(903) 758-3124

Sole ProprietorNo

Enumeration DateSeptember 26, 2012

Last NPPES UpdateOctober 18, 2024

NPPES CertifiedOctober 18, 2024

✔ NPI 1780935155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 83877

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

1107 E MARSHALL AVE, Longview, TX 75601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samwel Kebaya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

LIZETH GARCIA RN

Registered Nurse (Case Management)