Samantha Cole, LAFMT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3076 Issued in MN

Practice address

7251 Excelsior Rd
Baxter, MN 56425-8477

Phone

(218) 454-0878

NPI assigned

Aug 7, 2018

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes Country Counseling PLLCGroup PAC ID 7214257849, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lakes Country Counseling PLLC

  • Community/Behavioral Health Agency
  • Baxter, MN
  • NPI 1023322351

  MN

  Medicare reassignment Care Compare group NPD
• Sheila a Hoemberg LLC

  • Community/Behavioral Health Agency
  • Baxter, MN
  • NPI 1134514334
  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1609355171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2506",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564252506",
            "telephone_number": "218-454-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258477",
            "telephone_number": "218-454-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "LAFMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel B Clayton, O.D.
• Clearwaters Crosby LLC
• Scott Cameron Close, D.C.
• Kate Coffman
• Nicole Marie Cole, PA-C
• Community Behavioral Health Hospital-Baxter
• Tiffany Marie Conner
• Korina Converse
• Aynsley Corbett
• Hailey Cordes

• All providers in Baxter, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.