Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chinyere Sampson, LPC, CAADC

Individual provider Professional Counselor · NPI 1104295773

Chinyere Sampson, LPC, CAADC is a Mental Health Counselor in Jackson, Michigan. Qualified in 2015, 11 years ago. Practices with Jackson-Hillsdale Community Mental Health Board, a 26-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1200 N West Ave
Jackson, MI 49202-2179
Phone: (517) 789-1209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence L913196 (MI)

Record details

NPI number1104295773
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC , CAADC
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address3300 Lansing Ave, Jackson, MI 49202-1621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Jackson-Hillsdale Community Mental Health Board — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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