Samantha Noel Hager, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Windom, MN
NPI 1669868246 · NPPES record last updated Apr 10, 2015
Key facts
- NPI
- 1669868246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 304136 (MN)
- Practice address
- 305 9TH Street
Windom, MN 56101 - Phone
- (507) 832-8033
- NPI assigned
- Apr 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304136 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Behavioral Health Services Chartered | Past | Accepting new patients | |
| Agape Counseling Center, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304136 | MN | Yes |
Addresses
Primary practice location
305 9TH Street
Windom, MN 56101
Mailing address
P.O. Box 513
202 Broadway Ave.
Ormsby, MN 56162
Phone (507) 327-2854
Other providers in Windom, MN
- Michael Brandon Fisher
- Samantha Franzoi
- G P Nelson DDS PA
- Tatiana Garcia
- Alissa Grunewald
- Kathleen Joan Harder
- Hartberg Medical Clinic P.a.
- Steven Paul Hartberg
- Jennifer Haugen-Hesse
- Myra Jean Heckenlaible-Gotto
All providers in Windom, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.