Samantha Enstad, LPCC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC03300 Issued in MN

Practice address

311 Brighton Ave S Ste B
Buffalo, MN 55313-2313

Phone

(763) 291-5505

Fax

(763) 682-2449

NPI assigned

Jun 17, 2022

Last updated

Jun 17, 2022By 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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridging Hope Counseling Services LLC

  • Clinic/Center
  • Buffalo, MN
  • NPI 1508168337
  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1669102083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 BRIGHTON AVE S STE B",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132313",
            "telephone_number": "763-291-5505",
            "fax_number": "763-682-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 BRIGHTON AVE S STE B",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132313",
            "telephone_number": "763-291-5505",
            "fax_number": "763-682-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSTAD",
        "first_name": "SAMANTHA",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305176",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Earll, PA-C
• David Edward Ehlenz, MD
• Mohamed Elbasuny
• Elim Homes, Inc. (Progressive Rehabilitation Options)
• Jennifer Emery, MD
• Siglinde Erbs, MSW LICSW
• Allison Marie Erickson, CNP
• Steven Erickson, HIS
• Carrie Euerle, FNP
• Kimberly Jo Eull, RN

• Mental Health Counselor in Buffalo, MN
• Providers in Buffalo, 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 Jun 17, 2022; 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.