SAMANTHA GIBSON
NPI 1174475925
Peer Specialist in Stillwater, OK

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since February 13, 2026

998 E KNOTTS AVE, STILLWATER, OK 74075(844) 458-2100 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samantha Gibson NPPES

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

SAMANTHA GIBSON (NPI 1174475925) is an individual peer specialist in Stillwater, Oklahoma and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1174475925

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameSAMANTHA GIBSON

Location Address998 E KNOTTS AVEStillwater, OK 74075-3023

Mailing Address31626 S 369th West AveBristow, OK 74010-4993 · (844) 458-2100

Phone(844) 458-2100

Sole ProprietorNo

Enumeration DateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1174475925 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.

998 E KNOTTS AVE, Stillwater, OK 74075

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Other Providers at the Same Location NPPES 18

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

GRAND LAKE MENTAL HEALTH CENTER, INC.

Non-emergency Medical Transport (VAN)