Individual provider Active NPI

Samuel K Murphy

  • Professional Counselor
  • Lakeville, MN
National Provider Identifier
1073130613
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4426 Issued in MN
Practice address
8670 210TH St W
Lakeville, MN 55044-7000
Phone
(800) 438-1772
Fax
(262) 345-5562
NPI assigned
Jun 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Professional Counselor 101YP2500X 4426 MN Primary

Addresses

Primary practice location

8670 210TH St W
Lakeville, MN 55044-7000

Mailing address

10567 165TH St W
Lakeville, MN 55044-3523
Phone (952) 767-9374

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
I20250616001471 MN Practitioner - Mental Health Counselor 9335650555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mears Psychological LLC CurrentSince Jun 9, 2025 Accepting new patients

Locations

10567 165th St W
Ste B
Lakeville, MN 55044
Phone (952) 767-9374

8670 210th St W
Lakeville, MN 55044
Phone 8004381772 ext. 80043

10567 165th St W
Lakeville, MN 55044
Phone (952) 767-9374

150 Saint Andrews Dr
Ste 120
Mankato, MN 56001
Phone 9527679374 ext. 79374

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1073130613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443523",
            "telephone_number": "952-767-9374",
            "fax_number": "855-538-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 210TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447000",
            "telephone_number": "800-438-1772",
            "fax_number": "262-345-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.