SAMANTHA PAIGE STANLEY (NPI# 1922528272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922528272 |
| Entity Type | Individual |
| Full Name | SAMANTHA PAIGE STANLEY |
| Practice Address |
221 Windy Hill Drive Louisa KY 41230 |
| Mailing Address |
125 North Main Cross St. Louisa KY 41230 |
| Practice Telephone | 6062548943 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699266403 | Samantha Stanley | Physical Therapist | 6330 E 75th St Ste 206, Indianapolis, IN 46250-2700 | 2018-05-29 |
| 1750882643 | Samantha Stanley | Dental Hygienist | 51299 Romeo Plank Rd, Macomb, MI 48042-4114 | 2018-02-26 |
| 1417479577 | Samantha Noelle Stanley | Counselor | 3845 Avocado School Rd, La Mesa, CA 91941-7319 | 2017-07-11 |
| Street Address |
221 WINDY HILL DRIVE |
| City | LOUISA |
| State | KY |
| Zip Code | 41230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
| 1780236570 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 1640 Jerushia Branch Rd., Booneville, KY 41230 | 2019-07-11 |
| 1407393457 | Chandra D Blevins | Peer Specialist | 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 | 2017-01-30 |
| 1033654876 | Amanda Hurley | Peer Specialist | 125 N. Main Cross Street, Louisa, KY 41230 | 2017-01-04 |
| 1780127753 | Dakota Williams | Peer Specialist | 125 N Cross Main St, Louisa, KY 41230 | 2016-11-23 |
| 1568905529 | Tara Runyon | Peer Specialist | 125 N Main Cross Street, Louisa, KY 41230 | 2016-11-23 |
| 1134575624 | Misty Howell I | Peer Specialist | 125 S. Main Cross Street, Louisa, KY 41230 | 2016-05-13 |
| 1720404478 | Louisa Dental Care | Dentist | 203 S. Water St, Louisa, KY 41230 | 2014-03-05 |
| 1326336728 | Elite Chiropractic Psc | Chiropractor | 4347 Highway 2565, Louisa, KY 41230 | 2011-07-19 |
| 1003107053 | William Michael Ellis | Pharmacist | 4311 Sr 2565, Louisa, KY 41230 | 2011-04-26 |
| Find all providers in zip 41230 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1407393457 | Chandra D Blevins | Peer Specialist | 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 | 2017-01-30 |
| 1033654876 | Amanda Hurley | Peer Specialist | 125 N. Main Cross Street, Louisa, KY 41230 | 2017-01-04 |
| 1780127753 | Dakota Williams | Peer Specialist | 125 N Cross Main St, Louisa, KY 41230 | 2016-11-23 |
| 1568905529 | Tara Runyon | Peer Specialist | 125 N Main Cross Street, Louisa, KY 41230 | 2016-11-23 |
| 1518313014 | Latasha Leighann Byrd | Peer Specialist | 3651 Us Highway 2565, Louisa, KY 41320 | 2016-05-13 |
| 1134575624 | Misty Howell I | Peer Specialist | 125 S. Main Cross Street, Louisa, KY 41230 | 2016-05-13 |
| 1942655766 | Ashlea Leslie | Peer Specialist | 3651 Highway 2565, Louisa, KY 41230-5018 | 2016-04-29 |
| 1225483019 | Sara Young I | Peer Specialist | 2135 Highway 1185, Louisa, KY 41230-7968 | 2016-04-28 |
| 1124629282 | Brittany Baker | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-11-05 |
| Find all providers in LOUISA | ||||
Please comment or provide details below to improve the information on SAMANTHA PAIGE STANLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.