Individual provider Active NPI

Samantha Franklin

  • Marriage & Family Therapist
  • Eagan, MN
National Provider Identifier
1841725009
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3118 Issued in MN
Practice address
3464 Washington Dr Ste 115
Eagan, MN 55122-1453
Phone
(651) 348-8551
Fax
(651) 409-2029
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3118 MN Primary

Addresses

Primary practice location

3464 Washington Dr Ste 115
Eagan, MN 55122-1453

Mailing address

3464 Washington Dr Ste 115
Eagan, MN 55122-1453
Phone (651) 348-8551

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240904000273 MN Practitioner - Marriage and Family Therapist 2567868425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Psychotherapy LLC CurrentSince Aug 1, 2024 Accepting new patients
Lowry Hill Psychotherapy and Assessment Center PastSince Mar 1, 2015 Accepting new patients

Locations

3464 Washington Dr
Ste 115
Saint Paul, MN 55122
Phone (651) 348-8551

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1841725009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 WASHINGTON DR STE 115",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221453",
            "telephone_number": "651-348-8551",
            "fax_number": "651-409-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 WASHINGTON DR STE 115",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221453",
            "telephone_number": "651-348-8551",
            "fax_number": "651-409-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.