Samanntha Mouacheupao, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4318 Issued in MN

Practice address

8401 Wayzata Blvd Ste 340
Golden Valley, MN 55426-1365

Phone

(763) 566-0088

Fax

(763) 566-0089

NPI assigned

Jun 7, 2023

Last updated

Jun 16, 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

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

• Christian Recovery Center

  dba Christian Recovery Counseling

  • Psychologist
  • Golden Valley, MN
  • NPI 1003879164
  Medicare reassignment NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1689368078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261365",
            "telephone_number": "763-566-0088",
            "fax_number": "763-566-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261365",
            "telephone_number": "763-566-0088",
            "fax_number": "763-566-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUACHEUPAO",
        "first_name": "SAMANNTHA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morning Sun Financial Services of Virginia, LLC
• Morning Sun Financial Services, LLC
• Randall Lee Morris-Ostrom, PSY.D., LP
• Sonia Coelho Mosch, PH.D.
• Ella Rose Motzko, PA-C
• Corrie Kathleen Muench, M.A., CCC-SLP
• Priya Mukundan, PT
• Karin L Muldowney, MSW, LICSW, LMFT
• Joyce K Mundahl, OD
• Natalie Marie Muntean, DC

• Marriage & Family Therapist in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.