KIMTOIYA ONEAL SAM LCAC
NPI 1639622467
Counselor - Addiction (Substance Use Disorder) in Indianapolis, IN

Q: What is Kimtoiya Sam's NPI number?

The NPI number for Kimtoiya Sam is 1639622467. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Q: What is Kimtoiya Sam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimtoiya Sam was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 28, 2016

3430 CORK BEND DR, INDIANAPOLIS, IN 46239(317) 966-7772 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimtoiya Oneal Sam Lcac NPPES

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

KIMTOIYA ONEAL SAM LCAC (NPI 1639622467) is an individual addiction (substance use disorder) provider in Indianapolis, Indiana, licensed in Indiana (87000037A) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1639622467

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKIMTOIYA ONEAL SAMCredential: LCAC

Location Address3430 CORK BEND DRIndianapolis, IN 46239-7669

Mailing Address3430 Cork Bend DrIndianapolis, IN 46239-7669 · (317) 966-7772

Phone(317) 966-7772

Sole ProprietorYes

Enumeration DateJuly 28, 2016

✔ NPI 1639622467 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 IN · 87000037A

3430 CORK BEND DR, Indianapolis, IN 46239

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 2

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

180 ENTERPRISE

Counselor (Addiction (Substance Use Disorder))

3430 CORK BEND DR
INDIANAPOLIS, IN 46239

Marion County (317) 966-7772

INTEGRATED MENTAL HEALTH AND ADDICTION TREATMENT SERVICES

Counselor (Addiction (Substance Use Disorder))

3430 CORK BEND DR
INDIANAPOLIS, IN 46239

Marion County (317) 966-7772

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 Kimtoiya Sam's NPI number?

The NPI number for Kimtoiya Sam is 1639622467. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Where is Kimtoiya Sam located?

Kimtoiya Sam practices at 3430 Cork Bend Dr, Indianapolis, IN 46239. The listed phone number is (317) 966-7772.

What is Kimtoiya Sam's specialty?

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

What insurance does Kimtoiya Sam accept?

Health plans from CareSource list Kimtoiya Sam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimtoiya Sam was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.