MARYA SAMUELSON M.ED. LPCC NPI 1073933982

NPI Information

NPI: 1073933982
Provider Name: MARYA SAMUELSON, M.ED., LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3141 E BDE MAKA SKA PKWY
MINNEAPOLIS, MN
ZIP 55408
Phone: (952) 994-8114
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Marya Samuelson, M.ED., LPCC is a mental health counselor in Minneapolis, MN. Marya Samuelson, M.ED., LPCC NPI is 1073933982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3141 E BDE MAKA SKA PKWY
MINNEAPOLIS, MN
ZIP 55408-514
Phone: (952) 994-8114

The enumeration date for this NPI number is 4/17/2014 and was last updated on 4/27/2022.

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	3288	CALIFORNIA	No
2	101YP2500X	Counselor	Professional	3288	CALIFORNIA	No
3	101YP2500X	Counselor	Professional	780	MINNESOTA	No
4	101YM0800X	Counselor	Mental Health	780	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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