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

Dereka Samuel, LMHCA

Individual provider Mental Health Counselor · NPI 1700686565

Dereka Samuel, LMHCA is a Mental Health Counselor in Kokomo, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

417 Arnold Ct
Kokomo, IN 46902-3702
Phone: (765) 450-4843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SAMU-HM8NB8 (IN)

Record details

NPI number1700686565
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA
Sole proprietorYes
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing address417 Arnold Ct, Kokomo, IN 46902-3702

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