Samantha Johnson, CDCA/PEER SUPPORT is a
Peer Specialist based in Dayton, Ohio. Samantha Johnson is licensed to practice in Ohio (license number APS003048) and her current practice location is
4977 Northcutt Pl, Dayton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 387-6395.
NPI number for Samantha Johnson is 1710667852 and her current mailing address is 3137 Wayne Ave, Dayton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710667852.
Healthcare Provider's Profile
Full Name | Samantha Johnson |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 4977 Northcutt Pl, Dayton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710667852
- Provider Enumeration Date: 07/24/2023
- Last Update Date: 07/03/2025
Medical Identifiers
Medical identifiers for Samantha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710667852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA192921 (Ohio) | Secondary |
175T00000X | Peer Specialist | APS003048 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Johnson, CDCA/PEER SUPPORT 3137 Wayne Ave, Dayton, OH 45420-1963 Ph: () - | Samantha Johnson, CDCA/PEER SUPPORT 4977 Northcutt Pl, Dayton, OH 45414-3839 Ph: (937) 387-6395 |
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