Individual provider Active NPI

Samantha Lee, MA

  • Marriage & Family Therapist
  • Oakdale, MN
National Provider Identifier
1033841747
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4173 Issued in MN
Practice address
7520 Hudson Blvd. N Suite 205
Oakdale, MN 55128
Phone
(651) 447-3605
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4173 MN Primary

Addresses

Primary practice location

7520 Hudson Blvd. N Suite 205
Oakdale, MN 55128

Mailing address

N7932 US Highway 63
Spring Valley, WI 54767-7821
Phone (763) 242-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820002467 MN Practitioner - Marriage and Family Therapist 4284133778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milestone Mental Health PSCGroup PAC ID 6204335755, 2 clinicians

Practice addresses (Care Compare)

6230 10TH St N
Suite 120
Oakdale, MN 55128-6159
Phone (651) 500-2389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4173MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Mental Health PSC Marriage & Family Therapist CurrentSince Jun 7, 2025 Accepting new patients

Locations

6230 10th St N
Ste 120
Saint Paul, MN 55128
Phone (651) 500-2389

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1033841747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7932 US HIGHWAY 63",
            "city": "SPRING VALLEY",
            "state": "WI",
            "postal_code": "547677821",
            "telephone_number": "763-242-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 HUDSON BLVD. N SUITE 205",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "55128",
            "telephone_number": "651-447-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

Verify at the official NPI Registry.