Individual provider · Type 1 NPI

Samantha Gibson

Peer Specialist · Stillwater, OK

NPI number 1174475925 Active

Practice location

998 E Knotts Ave
Stillwater, OK 74075-3023

Call (844) 458-2100 Map

Mailing address

31626 S 369th West Ave
Bristow, OK 74010-4993

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1174475925

Samantha Gibson's National Provider Identifier is 1174475925, issued on Feb 13, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stillwater, OK. The record was last updated on Feb 13, 2026.