SAMANTHA KAI WILSON PRC
NPI 1720789910
Peer Specialist in Flint, MI

NPI Status: Active since March 14, 2023

Contact Information

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502
Phone: (810) 238-7226

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  • Individual
  • Female
  • Peer Specialist

About SAMANTHA WILSON

This page provides the complete NPI Profile along with additional information for Samantha Wilson, a provider established in Flint, Michigan with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1720789910 assigned on March 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1720789910
Provider Name
SAMANTHA KAI WILSON PRC
Gender
Female
Entity Type
Individual
Location Address
529 MARTIN LUTHER KING JUNIOR BLVD FLINT, MI 48502
Location Phone
(810) 238-7226
Mailing Address
529 MARTIN LUTHER KING JUNIOR BLVD FLINT, MI 48502
Mailing Phone
(810) 238-7226
Is Sole Proprietor?
Yes
Enumeration Date
03-14-2023
Last Update Date
03-14-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720789910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401481892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 4 + 8 + 1 + 8 + 9 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720789910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MR. RANDAL GENE SMITH CADC, AAS

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-0483

MRS. BRIDGET MARIE PILCHER A.A.S, CADC-M

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

KARIMA MAJIED AA, AAS, RAC

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-0483

BRITTNEY SPENCE RAC

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

RONALD BROWN

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 610-8503

SCOTT WILKINSON LLMSW

Social Worker

(Clinical)

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

REGINA WATKINS LPN

Licensed Practical Nurse

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

QUANGI FAE GLENN

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

ALESHA MICHELLE FAY

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

RICHARD COOPER JR. RN

Registered Nurse

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

CHRISTINA SUTHERLAND

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

DEREK HESSLER

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-5888

DEVAN GRASSO PRC

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

ANDREW KEAST

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

TAWANA MEREDITH

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

SAMUEL EDWARD ALLEN

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

AUBREY PERSSON

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

ALEXANDER NAUM

Counselor

(Addiction (Substance Use Disorder))

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

MELISSA LYNNE MAKOWSKI

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

PAUL LOCKRIDGE

Peer Specialist

529 MARTIN LUTHER KING JUNIOR BLVD
FLINT, MI
ZIP 48502

(810) 238-7226

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720789910, enumerated as an "individual" on March 14, 2023.

The provider is located at 529 MARTIN LUTHER KING JUNIOR BLVD FLINT, MI 48502 and the phone number is (810) 238-7226.

Peer Specialist with taxonomy code 175T00000X.