Individual provider · Type 1 NPI

Jon Michael Thomas Sampson

Peer Specialist · Pasadena, CA

NPI number 1063951192 Active

Practice location

2500 E Foothill Blvd
Pasadena, CA 91107-3464

Call (626) 254-5000 Map

Mailing address

1801 E Katella Ave Apt 3043
Anaheim, CA 92805-6656

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XMPSS-NEWOFU (CA)

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.

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About NPI 1063951192

Jon Michael Thomas Sampson's National Provider Identifier is 1063951192, issued on Feb 22, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pasadena, CA. The record was last updated on Aug 5, 2025.