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Samantha Jackson

Behavior Technician β€’ Humble, TX

Active NPI 1689136384 Individual Practitioner Female Practitioner
Practice location in NPPES

10602 Shimmer Bluff Ln
Humble, TX 773963304

Call 2819396652 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

10602 Shimmer Bluff Ln

Humble, TX 773963304

Telephone 2819396652

NPI first issued

2019

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; 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.

Guide: How Medicare covers telehealth

Compared with the same specialty in Humble and Texas

178 active clinicians are listed under Behavior Technician with a practice address in Humble, TX (25,161 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Humble

0% of these 178 clinicians have the CMS telehealth indicator.

0% of these 178 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: 2025-04-01
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Psychologist

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

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

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location April 01, 2025

Registered at 10602 SHIMMER BLUFF LN, HUMBLE, TX 773963304 (Tel: 2819396652)

πŸ“
Updated Business Mailing Address April 01, 2025

Registered at 10602 SHIMMER BLUFF LN, HUMBLE, TX 773963304 (Tel: 2819396652)

πŸ‘€
Provider Name / Credentials Updated April 01, 2025

Recorded as SAMANTHA JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Counselor

βœ…
NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 02, 2019

Registered at 27777 INKSTER RD, FARMINGTON HILLS, MI 483345326 (Tel: 2484364400)

πŸ“
Business Mailing Address (Initial Record) April 02, 2019

Registered at 27777 INKSTER RD, FARMINGTON HILLS, MI 483345326 (Tel: 2484364400)

πŸ‘€
Provider Name / Credentials (Initial Record) April 02, 2019

Recorded as SAMANTHA LOEZA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration April 02, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689136384
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: April 01, 2025
Sole Proprietor: No

Mailing Address

10602 Shimmer Bluff Ln

Humble, TX 773963304

Phone: 2819396652

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.