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MR. SAMUEL PATRICK FOGLE M.S. L.P.C. NPI 1790752319


NPI Information

NPI: 1790752319
Provider Name: MR. SAMUEL PATRICK FOGLE, M.S., L.P.C.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1219 E SOUTH 11TH ST
SUITE A
ABILENE, TX
ZIP 79602
Phone: (325) 676-2039
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MR. Samuel Patrick Fogle, M.S., L.P.C. is a counselor in Abilene, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Samuel Patrick Fogle, M.S., L.P.C. NPI is 1790752319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1219 E SOUTH 11TH ST
SUITE A
ABILENE, TX
ZIP 79602-283
Phone: (325) 676-2039
Fax: (325) 480-4784

The enumeration date for this NPI number is 3/2/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor16245TEXASYes
2101YM0800XCounselorMental Health16245TEXASX
3101YP2500XCounselorProfessional16245TEXASX
4101YA0400XCounselorAddiction (Substance Use Disorder)16245TEXASX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17252LCOTHERTEXASBLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.