SAMANTHA LA WILSON CDPT
NPI 1568983252
Counselor - Addiction (Substance Use Disorder) in Enumclaw, WA

Active since July 03, 2017
28115 SE 451ST ST, ENUMCLAW, WA 98022(360) 640-5312 Get Directions Write a Review

NPPES record last updated: July 3, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Samantha La Wilson Cdpt NPPES

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

SAMANTHA LA WILSON CDPT (NPI 1568983252) is an individual addiction (substance use disorder) provider in Enumclaw, Washington, licensed in Washington (CO60757690) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1568983252
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSAMANTHA LA WILSONCredential: CDPT
Location Address28115 SE 451ST STEnumclaw, WA 98022-9204
Mailing Address100 Wellness WayNeah Bay, WA 98357
Sole ProprietorNo
Enumeration DateJuly 3, 2017
NPI 1568983252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CO60757690
28115 SE 451ST ST, Enumclaw, WA 98022

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 Wilson's NPI number?

The NPI number for Samantha Wilson is 1568983252. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Samantha Wilson located?

Samantha Wilson practices at 28115 SE 451st St, Enumclaw, WA 98022. The listed phone number is (360) 640-5312.

What is Samantha Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samantha Wilson was last updated on July 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.