Samantha Marie Kallberg, PSYD, LP
Individual provider Active NPI Counseling Psychologist · Hampton, MN
NPI 1801430277 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1801430277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- LP6987 (MN)
- Practice address
- 23629 Inga Ave
Hampton, MN 55031-9776 - Phone
- (218) 590-9905
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6987 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samantha Kallberg | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP6987 | MN | Yes |
Addresses
Primary practice location
23629 Inga Ave
Hampton, MN 55031-9776
Mailing address
23629 Inga Ave
Hampton, MN 55031-9776
Other providers in Hampton, MN
All providers in Hampton, MN · Counseling Psychologist 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 29, 2025. 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.