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SAMANTHA EDMONDS
NPI 1366048142
Peer Specialist in Southgate, MI

Active since December 08, 2020
13101 ALLEN RD BLDG 4, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Edmonds NPPES

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

SAMANTHA EDMONDS (NPI 1366048142) is an individual peer specialist in Southgate, Michigan and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1366048142
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSAMANTHA EDMONDS
Location Address13101 ALLEN RD BLDG 4Southgate, MI 48195-2216
Mailing Address13101 Allen Rd Bldg 4Southgate, MI 48195-2216
Phone(734) 785-7700
Sole ProprietorNo
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1366048142 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.
13101 ALLEN RD BLDG 4, Southgate, MI 48195
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Other Providers at the Same Location NPPES 14

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

LAKISHA WALSTON R.N
Registered Nurse
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MRS. TERRIE ANN MILEWSKI RN
Registered Nurse
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
HANNAH ARVIDSON SW-T
Social Worker
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MARY RISH RN BSN
Registered Nurse
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 787-3571
SAMANTHA O'DROSKI
Counselor
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 785-7770
SHERRY NIPPER
Counselor (Addiction (Substance Use Disorder))
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MACKAY E HEASLEY
Social Worker
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
SHERITA JOHNSON
Counselor (Addiction (Substance Use Disorder))
13101 ALLEN RD BLDG 4
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

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 Samantha Edmonds's NPI number?

The NPI number for Samantha Edmonds is 1366048142. It was assigned to this individual provider in the NPPES registry on December 8, 2020.

Where is Samantha Edmonds located?

Samantha Edmonds practices at 13101 Allen Rd Bldg 4, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Samantha Edmonds'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 Samantha Edmonds was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.