Samantha Nicole Pieper, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

625 3Rd Ave NW
Faribault, MN 55021-4219

Phone

(651) 384-3791

Fax

(833) 777-2781

NPI assigned

Sep 7, 2020

Last updated

Oct 14, 2023By the provider in NPPES

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

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

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lighthouse Psychological Services IncGroup PAC ID 3072948389, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Lighthouse Psychological Services Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1548428170
  Medicare reassignment Care Compare group
• Lighthouse Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Fridley, MN
  • NPI 1073844718
  NPD
• Lighthouse Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Fridley, MN
  • NPI 1962750927
  NPD

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1649884628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 3RD AVE NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214219",
            "telephone_number": "651-384-3791",
            "fax_number": "833-777-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 3RD AVE NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214219",
            "telephone_number": "651-384-3791",
            "fax_number": "833-777-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEPER",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Pesta Walsh, FNP-BC
• Bradley Peters
• Susan Karen Peterson, M.S., R.D., L.D.
• Jeff Phiefer
• Phunt Phyo, M.D.
• Heidi Katherine Pierquet, CNP
• Hector Pineda Guzman
• Pleasant Manor LLC
• Pleasant Manor, Inc. (Pleasant View Estates)
• Pleasant Manor, Inc.

• Mental Health Counselor in Faribault, MN
• Providers in Faribault, 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 Oct 14, 2023; 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.