{"npi":"1689690083","type":"NPI-2","status":"active","name":{"display":"Carole And Ronald Krist Samaritan Counseling Center","other":[],"organization_name":"CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER","authorised_official":"Lessley Lombardo"},"specialty":{"primary_taxonomy":"103TC1900X","primary_taxonomy_description":"Counseling Psychologist","slug":"counseling-psychologist","schema_org_specialty":null,"all":[{"code":"101YP1600X","description":"Pastoral Counselor","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":null,"license":null},{"code":"103TB0200X","description":"Cognitive & Behavioral Psychologist","primary":false,"state":null,"license":null},{"code":"103TC0700X","description":"Clinical Psychologist","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"106H00000X","description":"Marriage & Family Therapist","primary":false,"state":null,"license":null},{"code":"103TC1900X","description":"Counseling Psychologist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"16441 SPACE CENTER BLVD # C-100","city":"HOUSTON","state":"TX","postal_code":"770582015","country_code":"US","phone":"2814807554","fax":"2814804193"},{"purpose":"MAILING","street_1":"16441 SPACE CENTER BLVD # C-100","city":"HOUSTON","state":"TX","postal_code":"770582015","country_code":"US","phone":"2814807554","fax":"2814804641"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"363832201","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"0039DG","state":"TX","issuer":"BCBS GROUP ID #"},{"type_code":"01","label":"Other","value":"152297","state":"TX","issuer":"VALUE OPTIONS GROUP #"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20131126000741","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"8325274152"}]},"enumeration_date":"2006-07-15","last_updated":"2024-02-05","_meta":{"source":"NPPES","snapshot_date":"2024-02-05","doc_url":"https://findmynpi.com/api"}}