Samantha Grace Hallgren, MT-BC

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

15322 Issued in MN

Practice address

3748 McCracken LN # a
Arden Hills, MN 55112-3229

Phone

(651) 500-5422

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Roots Music Therapy Services LLC

  • Music Therapist
  • Arden Hills, MN
  • NPI 1497346803
  NPD Authorized official

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1245867167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 MCCRACKEN LN # A",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123229",
            "telephone_number": "651-500-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3748 MCCRACKEN LN # A",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123229",
            "telephone_number": "651-500-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLGREN",
        "first_name": "SAMANTHA",
        "middle_name": "GRACE",
        "credential": "MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "MN",
            "license": "15322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sammie@rootsmusictherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3748 McCracken Ln # A",
            "city": "Arden Hills",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551123229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grow It Forward, LLC
• Alicia Kristine Guild
• Yasser Habchane
• Jerri L Haindfield, RD
• Clarissa Hales
• Sophia Hangge
• Bruce H Hansen, DDS
• Megan Elizabeth Hansen
• Croix Patrick Hare
• Ben Leo Harken

• Music Therapist in Arden Hills, MN
• Providers in Arden Hills, MN by specialty
• Music Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.