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

Kip Sampson, CM, CPSS, CBRS

Individual provider Peer Specialist · NPI 1164399085

Kip Sampson, CM, CPSS, CBRS is a Peer Specialist in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025
Specialties on file
3

Practice location Address checks out

3288 E Pine Ave
Meridian, ID 83642-5922
Phone: (208) 888-8887
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (ID)
Peer Specialist Taxonomy 175T00000X (ID)
Rehabilitation Practitioner Taxonomy 225400000X (ID)

Record details

NPI number1164399085
Entity typeIndividual (Type 1)
GenderMale
Credentials CM , CPSS , CBRS
Sole proprietorNo
NPI enumeratedOctober 23, 2025
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

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