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SAMUEL WALKER PCCSSS
NPI 1366203077
Peer Specialist in Gulfport, MS

Active since January 19, 2024
1600 BROAD AVE, GULFPORT, MS 39501(228) 213-5888(228) 575-3433 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Walker Pccsss NPPES

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

SAMUEL WALKER PCCSSS (NPI 1366203077) is an individual peer specialist in Gulfport, Mississippi, licensed in Mississippi (4138) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1366203077
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSAMUEL WALKERCredential: PCCSSS
Location Address1600 BROAD AVEGulfport, MS 39501-3603
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901
Phone(228) 213-5888
Fax(228) 575-3433
Sole ProprietorNo
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1366203077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in MS · 4138
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.
1600 BROAD AVE, Gulfport, MS 39501
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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.

JUNE BOUDREAUX CPSS
Peer Specialist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KRYSTAL RICE
Counselor
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 213-5888
CYNTHIA WILLETT PCMHT
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
MS. RITA A RADEMACHER LMSW
Social Worker
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CATHERINE JONES LMFT
Marriage & Family Therapist
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
KATHY ULLAND P-LPC
Counselor (Mental Health)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (122) 886-5133
KATRINA GRIFFITH LPC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132
CHRISTINA MARIE LADD LMHC
Counselor (Professional)
1600 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 863-1132

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 Samuel Walker's NPI number?

The NPI number for Samuel Walker is 1366203077. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Samuel Walker located?

Samuel Walker practices at 1600 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 213-5888.

What is Samuel Walker'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 Samuel Walker was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.