What is Dereka Samuel's NPI number?

Dereka Samuel's National Provider Identifier (NPI) is 1700686565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dereka Samuel's specialty?

Dereka Samuel is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Dereka Samuel located?

Dereka Samuel's practice location on file with NPPES is 417 Arnold Ct, Kokomo, IN 46902-3702.

What is Dereka Samuel's phone number?

The practice phone number listed in the NPPES registry for Dereka Samuel is (765) 450-4843.

Is Dereka Samuel's NPI active?

Yes — Dereka Samuel's NPI (1700686565) is active in the NPPES registry as of the last update on 2025-03-19.

IndividualActive

Dereka Samuel, LMHCA

NPI 1700686565 · Mental Health Counselor · Kokomo, IN

Dereka Samuel, LMHCA is a Mental Health Counselor provider in Kokomo, IN (NPI 1700686565).

Provider details

NPI number: 1700686565
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: LMHCA
Sex: Female
Sole proprietor: Yes
License: SAMU-HM8NB8 (IN)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense SAMU-HM8NB8 (IN)
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

417 Arnold Ct

Kokomo, IN 46902-3702

Phone: (765) 450-4843

Street-level locationGet directions

Mailing address