Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Supritha Sampath , LPC

Counselor - Professional β€’ Cedar Park, TX

Active NPI 1669074860 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

500 W Whitestone Blvd Ste 105
Cedar Park, TX 786132271

Call 5128595729 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 W Whitestone Blvd Ste 105

Cedar Park, TX 786132271

Telephone 5128595729
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Georgetown, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Family Care Center Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Supritha Sampath has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Supritha Sampath as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cedar Park and Texas

87 active clinicians are listed under Counselor - Professional with a practice address in Cedar Park, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cedar Park

6.9% of these 87 clinicians have the CMS telehealth indicator.

16.1% of these 87 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-28
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 89306
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240626001473

Enrollment State Jurisdiction

TX

PECOS Control ID

5799229258

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Family Care Center Llc

1411 Medical Pkwy, Cedar Park, TX 786132696

Phone: 8883745066

Secondary Practice Locations

3613 Williams Dr Ste 304

Georgetown, TX 786281369

Phone: 5124004247

500 W Whitestone Blvd Ste 105

Cedar Park, TX 786132271

Phone: 5128597529

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location May 28, 2024

Registered at 500 W WHITESTONE BLVD STE 105, CEDAR PARK, TX 786132271 (Tel: 5128595729)

πŸ“
Updated Business Mailing Address May 28, 2024

Registered at 500 W WHITESTONE BLVD STE 105, CEDAR PARK, TX 786132271 (Tel: 5128595729)

πŸ‘€
Provider Name / Credentials Updated May 28, 2024

Recorded as SUPRITHA SAMPATH, LPC

πŸ“
Updated Practice Location June 27, 2023

Registered at 3613 WILLIAMS DR STE 304, GEORGETOWN, TX 786281369 (Tel: 5124004247)

πŸ“
Updated Business Mailing Address June 27, 2023

Registered at 3613 WILLIAMS DR STE 304, GEORGETOWN, TX 786281369 (Tel: 5124004247)

πŸ‘€
Provider Name / Credentials Updated June 27, 2023

Recorded as SUPRITHA SAMPATH, LPC-ASSOCIATE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Counselor

βœ…
NPI Profile Active November 12, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 12, 2020

Registered at 3010 GRAND AVE, WAUKEGAN, IL 600852321 (Tel: 8473778000)

πŸ“
Business Mailing Address (Initial Record) November 12, 2020

Registered at 402 CAMARGO CT, VERNON HILLS, IL 600614528 (Tel: 2146754439)

πŸ‘€
Provider Name / Credentials (Initial Record) November 12, 2020

Recorded as SUPRITHA SAMPATH, COUNSELING INTERN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 12, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1669074860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2020
Last Update: May 28, 2024
Sole Proprietor: No

Mailing Address

500 W Whitestone Blvd Ste 105

Cedar Park, TX 786132271

Phone: 5128595729

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.