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CRYSTALENA SAM
NPI 1093679896
Peer Specialist in Fairbanks, AK

Active since December 15, 2025
1521 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-8251 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystalena Sam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTALENA SAM (NPI 1093679896) is an individual peer specialist in Fairbanks, Alaska and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1093679896
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCRYSTALENA SAM
Location Address1521 S CUSHMAN STFairbanks, AK 99701-6203
Mailing Address1521 S Cushman StFairbanks, AK 99701-6203 · (907) 452-8251
Phone(907) 452-8251
Sole ProprietorYes
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1093679896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1521 S CUSHMAN ST, Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CELINA NICHOLE RISNER CDC I
Counselor (Addiction (Substance Use Disorder))
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
KAYLA ALEXIS LEU CLARK
Counselor (Addiction (Substance Use Disorder))
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 750-6270
MRS. LYNDA JEAN PURVIS CDC I
Community Based Residential Treatment Facility, Mental Illness
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
MS. KATELYN TAMARA HOLMBERG
Counselor
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
PAULINE ELIZABETH SMITH
Counselor (Mental Health)
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
MEGAN ZOOK
Counselor (Addiction (Substance Use Disorder))
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
SUSANNA PITKA
Peer Specialist
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251
BARBARA GILSON
Counselor (Addiction (Substance Use Disorder))
1521 S CUSHMAN ST
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 452-8251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystalena Sam's NPI number?

The NPI number for Crystalena Sam is 1093679896. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Crystalena Sam located?

Crystalena Sam practices at 1521 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 452-8251.

What is Crystalena Sam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Crystalena Sam was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.