Samantha Walker, LADC-S

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

30610 Issued in MN

Practice address

1340 Hazel St N
Saint Paul, MN 55119-4506

Phone

(763) 339-7506

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• K & W Services LLC

  • Community/Behavioral Health Agency
  • Inver Grove Heights, MN
  • NPI 1013586734
  NPD Authorized official
• Rrecovery Services

  • Substance Abuse Rehabilitation Facility
  • Saint Paul, MN
  • NPI 1710505821
  NPD
• Continuum Care Center

  • Addiction (Substance Use Disorder) Counselor
  • Saint Paul, MN
  • NPI 1578041463
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1437635356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 OLD HUDSON RD APT 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194319",
            "telephone_number": "612-459-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HAZEL ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194506",
            "telephone_number": "763-339-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "SAMANTHA",
        "credential": "LADC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "30610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine June Walker, PA-C
• Kenya Walker, LICSW
• Kevin R Walker, MD
• Patricia F Walker, MD
• Robyn Rose Walker, MA, LPCC, LADC
• Walking Into Your Purpose Wellness Center LLC
• Lisa Marie Walkley
• Kevin S. Wall
• Mark C Wallace, DDS
• McKenzie Wallace, STUDENT

• Addiction (Substance Use Disorder) Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.