Samantha Lynn Craighead
Individual provider Active NPI Peer Specialist · Sallisaw, OK
NPI 1992446652 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1992446652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1108 N Wheeler Ave
Sallisaw, OK 74955-2227 - Phone
- (918) 775-5513
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creoks Mental Health Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1108 N Wheeler Ave
Sallisaw, OK 74955-2227
Mailing address
1108 N Wheeler Ave
Sallisaw, OK 74955-2227
Phone (918) 775-5513
Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.