Samuel Lehman Conway, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2712 Issued in MN

Practice address

1350 Arcade St
Saint Paul, MN 55106-1802

Phone

(651) 487-4987

NPI assigned

Jan 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Minnesota Psychoanalytic Collective

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1013840982
  NPD Authorized official
• The Ballyba Clinic

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1144159708
  NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1447848692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 PORTLAND AVE APT 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071027",
            "telephone_number": "320-290-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061802",
            "telephone_number": "651-487-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "SAMUEL",
        "middle_name": "LEHMAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Contreras
• Jessica Convy, MSW, LICSW
• Mary Frances Conway, RN
• Michelle Marie Briggs Conway, CNMT
• Patrick McGinn Conway, DO
• Daniel Conybeare, PH.D., ABPP
• Gail Ann Conzemius, MA RNC NP
• Cook Counseling Services, LLC
• Alison Beth Cook, PHARM D
• Amanda K Cook, M.S.

• Mental Health Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.