Samantha Marie Wallette

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

353 Issued in ND

Practice address

340 Red Road Drive
Belcourt, ND 58316

Phone

(701) 477-8931

NPI assigned

Jan 27, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Turtle Mountain Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Belcourt, ND
  • NPI 1376286633
  NPD (past)

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1790634160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583670562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RED ROAD DRIVE",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "58316",
            "telephone_number": "701-477-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLETTE",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "ND",
            "license": "353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turtle Mountain Recovery Center
• Justin Vallie
• Edward George Vivier, LMSW
• Kylene Rae Vivier
• Breanna Leigh Wallette
• Savanah Wallette
• Serena Marie Wallette
• Dayla F Walter
• Rebecca A Ward
• Wayne W Weber, RN

• Peer Specialist in Belcourt, ND
• Providers in Belcourt, ND by specialty
• Peer Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.