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SAMUEL ARTHUR ELLIOTT
NPI 1891489589
Peer Specialist in Kennett, MO

Active since June 06, 2023
1109 JONES ST, KENNETT, MO 63857(573) 888-5925 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Arthur Elliott NPPES

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

SAMUEL ARTHUR ELLIOTT (NPI 1891489589) is an individual peer specialist in Kennett, Missouri and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1891489589
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSAMUEL ARTHUR ELLIOTT
Location Address1109 JONES STKennett, MO 63857-3824
Mailing Address1109 Jones StKennett, MO 63857-3824 · (573) 888-5925
Phone(573) 888-5925
Sole ProprietorNo
Enumeration DateJune 6, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1891489589 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.
1109 JONES ST, Kennett, MO 63857
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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.

CHELSI JOANN MASTERSON
Case Manager/Care Coordinator
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
KEITH LYNN CHADWELL
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
DR. PEGGY LOU MCMILLIN PH.D CSAC11
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
BRIAN BRANUM RASAC I, BS
Counselor (Addiction (Substance Use Disorder))
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
TAMMIE LYNN STATLER RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
HANNAH WILLIAMS
Technician, Other
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-6545
PAM BUTTREY
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925
STEVEN LEE RHINE
Behavior Technician
1109 JONES ST
KENNETT, MO 63857
Dunklin County (573) 888-5925

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 Elliott's NPI number?

The NPI number for Samuel Elliott is 1891489589. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Samuel Elliott located?

Samuel Elliott practices at 1109 Jones St, Kennett, MO 63857. The listed phone number is (573) 888-5925.

What is Samuel Elliott'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 Elliott was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.