Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Samuel Brian Conerly

Counselor - Professional β€’ Coppell, TX

Active NPI 1477148427 Individual Practitioner Male Practitioner
Practice location in NPPES

820 S Macarthur Blvd Ste 105-160
Coppell, TX 750194216

Call 4693009793 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

820 S Macarthur Blvd Ste 105-160

Coppell, TX 750194216

Telephone 4693009793
Other Listings in Public Data

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

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

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

NPI first issued

2021

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coppell and Texas

34 active clinicians are listed under Counselor - Professional with a practice address in Coppell, TX (21,191 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coppell

0% of these 34 clinicians have the CMS telehealth indicator.

0% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2023-04-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 77228
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

Secondary Practice Locations

9941 Lingo Ln

Dallas, TX 752283349

Phone: 9725024106

Career & Practice History Timeline

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

7 Historical Events
🏒
Secondary Practice Location Registered April 27, 2023

Additional practice office at 9941 Lingo Ln, Dallas, TX 752283349

βœ…
NPI Profile Active March 02, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 02, 2021

Registered at 820 S MACARTHUR BLVD STE 105-160, COPPELL, TX 750194216 (Tel: 4693009793)

πŸ“
Business Mailing Address (Initial Record) March 02, 2021

Registered at PO BOX 4154, DALLAS, TX 752080154

πŸ‘€
Provider Name / Credentials (Initial Record) March 02, 2021

Recorded as SAMUEL CONERLY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2021

Counselor (license number reported to NPPES: TX 77228)

🟒
Initial NPI Registration & Enumeration March 02, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1477148427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2021
Last Update: April 27, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 4154

Dallas, TX 752080154

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.