Samuelson Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAMUELSON PSYCHOTHERAPY LLC

Practice address

2908 Humboldt Ave #9
Minneapolis, MN 55408

Phone

(952) 994-8114

NPI assigned

Jul 23, 2014

Organization subpart

No

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

Authorized official

Name

Marya Samuelson, M.ED., LPCCNPI 1073933982

Title

President

Phone

(952) 994-8114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marya Samuelson, M.ED., LPCC

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1073933982
  NPD Authorized official

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1972911949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 E BDE MAKA PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "952-994-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 HUMBOLDT AVE #9",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "952-994-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELSON PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "MARYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-994-8114",
        "authorized_official_credential": "M.ED., LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Silvasto Samson
• Nicole Lee Samudio, APRN, CNP, DNP
• Robin Marie Samuel, OTR/L
• Caitlin Anne Samuels, MSW, LICSW
• Sarah Jane Howard Samuels, LICSW
• Ellen Faye Samuelson, MA
• Marya Samuelson, M.ED., LPCC
• Ashley Samulenas
• Sana Wellness LLC
• Sajal Sakshi Sanan

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, 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 Apr 16, 2024; 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.