Individual provider Active NPI

Samantha A Morgan-O'Rourke, LMFT

  • Marriage & Family Therapist
  • Chaska, MN
National Provider Identifier
1184797508
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1392 Issued in MN
Practice address
112 E 5TH St Ste 202
Chaska, MN 55318-2252
Phone
(952) 448-7052
Fax
(952) 448-7029
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1392 MN Primary

Addresses

Primary practice location

112 E 5TH St Ste 202
Chaska, MN 55318-2252

Mailing address

112 E 5TH St Ste 202
Chaska, MN 55318-2252
Phone (952) 448-7052

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
I20250416000935 MN Practitioner - Marriage and Family Therapist 6002331683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 W 78TH St
Suite 10I
Chanhassen, MN 55317-2601
Phone (612) 702-1976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1392MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Therapeutic Support Services PLLC Marriage & Family Therapist CurrentSince Feb 13, 2025 Accepting new patients
Family Therapy Specialists, Inc Marriage & Family Therapist Past Accepting new patients

Locations

600 W 78th St
Ste 10
Chanhassen, MN 55317
Phone (952) 405-9369

600 W 78th St
Ste 10I
Chanhassen, MN 55317
Phone (612) 702-1976

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184797508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E 5TH ST STE 202",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182252",
            "telephone_number": "952-448-7052",
            "fax_number": "952-448-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E 5TH ST STE 202",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182252",
            "telephone_number": "952-448-7052",
            "fax_number": "952-448-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN-O'ROURKE",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.