MR. SAMUEL PATRICK FOGLE (NPI# 1790752319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790752319 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL PATRICK FOGLE |
| Credential | M.S., L.P.C. |
| Practice Address |
1219 E South 11th St Suite A Abilene TX 79602-4283 |
| Practice Telephone | 3256762039 |
| Practice Fax Number | 3254804784 |
| Mailing Telephone | 3256762039 |
| Mailing Fax Number | 3254804784 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 16245 | TX | Behavioral Health & Social Service Providers |
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16245 | TX | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
16245 | TX | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
16245 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS & BLUE SHIELD | 7252LC | 01 |
| Street Address |
1219 E SOUTH 11TH ST SUITE A |
| City | ABILENE |
| State | TX |
| Zip Code | 79602-4283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700269305 | Morgan Fenoglio | Counselor | 1219 E South 11th St, Suite A, Abilene, TX 79602-4283 | 2015-07-01 |
| 1700281599 | St. Cyr, LLC | Behavioral Analyst | 1219 E South 11th St, Suite A, Abilene, TX 79602-4283 | 2014-10-23 |
| 1518389477 | Adam Victor St Cyr | Counselor | 1219 E South 11th St, Ste A, Abilene, TX 79602-4283 | 2014-01-13 |
| 1871852947 | Sarah St. Cyr | Counselor | 1219 E South 11th St, Suite A, Abilene, TX 79602-4283 | 2012-05-10 |
| 1730324393 | Douglas Dean Brown | Counselor | 1219 E South 11th St, Suite A, Abilene, TX 79602-4283 | 2008-12-11 |
| 1457447823 | Carl V. Mcqueen | Counselor | 1219 E South 11th St, Suite A, Abilene, TX 79602-4283 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285138206 | Connie Y Benfield Phd Pllc | Psychologist | 100 Chestnut St Ste 112, Abilene, TX 79602 | 2018-03-23 |
| 1356891931 | Op Operations IIi, LLC | Skilled Nursing Facility | 1201 Clarks Drive, Abilene, TX 79602 | 2016-10-07 |
| 1225400112 | Sabrina Roxanne Elliott | Midwife | 1233 Nottingham Rd, Abilene, TX 79602 | 2015-10-30 |
| 1447678859 | Ryan Hebert | Private Vehicle | 290 East Ammo Rd, Dyess Afb, TX 79602 | 2014-04-02 |
| 1083922009 | Catherine R Lenhert | Counselor | 1111 Industrial Blvd #2, Abilene, TX 79602 | 2010-09-24 |
| 1598077828 | Edwyna Ann Watson | Counselor | 1500 Industrial Blvd. Suite 220, Lighthouse Counseling, Abilene, TX 79602 | 2010-07-01 |
| 1891912614 | Murriell M Dorden-gerardo | Lodging | 6981 Maple Street, Abilene, TX 79602 | 2007-04-20 |
| 1588721898 | Frances Martin Wiman | Counselor | 111 Industrial Blvd, Bldg 2, Abilene, TX 79602 | 2007-01-03 |
| 1982779682 | Patsy Joann Massey | Counselor | 1219 E S 11th, Ste A Freedom Counseling Center, Abilene, TX 79602 | 2006-11-21 |
| 1811094386 | Imran A Yazdani | Internal Medicine | 4225 Woods Place, Abilene, TX 79602 | 2006-09-19 |
| Find all providers in zip 79602 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824220 | Nolan Thomas Hill | Counselor | 1343 S 4th St, Abilene, TX 79602-1241 | 2020-09-03 |
| 1255855029 | Miles H Lourenco | Counselor | 1049 N 3rd St Ste 603, Abilene, TX 79601-5847 | 2017-08-02 |
| 1457694820 | Texas Neurology Clinic PC | Counselor | 4755 Hartford, Abilene, TX 79605 | 2013-04-03 |
| 1568652907 | Mary Ann Jones | Counselor | 1290 S. Willis St., Suite 117, Abilene, TX 79605 | 2007-08-01 |
| 1942322532 | Amanda Diane Flaming | Counselor | 825 Piedmont Dr, Abilene, TX 79601-5407 | 2007-04-04 |
| 1194847756 | Tochukwu Ughanze | Counselor | 3242 Chimney Rock Rd, Abilene, TX 79606-3356 | 2007-04-04 |
| 1487695490 | Timothy Douglas Horst | Counselor | 1215 E South 11th, Suite C, Abilene, TX 79602-4292 | 2006-06-09 |
| 1427003912 | Marc M Orner | Counselor | 3444 N 1st St Ste 401, Abilene, TX 79603-6940 | 2006-05-23 |
| 1639700222 | Ashlyn Railsback | Counselor | 1 Village Dr Ste 350, Abilene, TX 79606-8231 | 2020-02-01 |
| 1508408931 | Allison Jo Clifton | Counselor | 5189 Texas Ave, Abilene, TX 79605-4529 | 2019-10-17 |
| Find all providers in ABILENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.