Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel A Wolde

Individual provider Mental Health Counselor · NPI 1275173536

Samuel A Wolde is a Clinical Psychologist in Houston, Texas. Qualified in 2017, 9 years ago. Practices with Supportive Care I of Rhode Island PC, a 54-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4635 SW Fwy Ste 635
Houston, TX 77027-7112
Phone: (713) 850-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 39274 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 18390

Record details

NPI number1275173536
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Supportive Care I Of Rhode Island Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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