SAM BOSS NPI 1639075062

NPI Information

NPI: 1639075062
Provider Name: SAM BOSS
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
Address: 1345 MONROE AVE NW STE 332
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 894-6688

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NPI Details

Sam Boss is a mental health counselor in Grand Rapids, MI. Sam Boss NPI is 1639075062. The provider is registered as an individual entity type.

The provider's business location address is:

1345 MONROE AVE NW STE 332
GRAND RAPIDS, MI
ZIP 49505-673
Phone: (616) 894-6688

The enumeration date for this NPI number is 10/14/2026 and was last updated on 10/14/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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