1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Marriage Family Therapist
  6. NPI Profile

MR. SAMUEL JOSEPH EGERTSON
NPI 1053885756
Marriage & Family Therapist in St Louis Park, MN

Active since January 15, 2019
5407 EXCELSIOR BLVD STE B, ST LOUIS PARK, MN 55416(612) 787-2832 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2021, Jan 15, 2019 (2 updates tracked since 2019).

About Mr. Samuel Joseph Egertson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMUEL JOSEPH EGERTSON (NPI 1053885756) is an individual marriage & family therapist in St Louis Park, Minnesota and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1053885756
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SAMUEL JOSEPH EGERTSON
Location Address5407 EXCELSIOR BLVD STE BSt Louis Park, MN 55416-2932
Mailing Address1211 James AveSaint Paul, MN 55105-2920 · (314) 753-1627
Phone(612) 787-2832
Sole ProprietorNo
Enumeration DateJanuary 15, 2019
Last NPPES UpdateJune 15, 20212 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
✔ NPI 1053885756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X · License 2018038889 (MO)
5407 EXCELSIOR BLVD STE B, St Louis Park, MN 55416
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLIE SIEDOW
Counselor (Mental Health)
5407 EXCELSIOR BLVD STE B
MINNEAPOLIS, MN 55416
Hennepin County (612) 283-9221
MS. CALLIE JOYCE MCMILLAN MS
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 483-4994
RACHEL KLEIN
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 787-2832
SHARON HERNANDEZ
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 737-2832
CAROL HOOPMAN
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (763) 220-0387
EMMA DANGERS
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 283-9221
CHRISTIAN ANN LARSON
Counselor (Mental Health)
5407 EXCELSIOR BLVD STE B
MINNEAPOLIS, MN 55416
Hennepin County (612) 283-9221
RACHEL NYGAARD
Marriage & Family Therapist
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN 55416
Hennepin County (612) 968-8407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Egertson's NPI number?

The NPI number for Samuel Egertson is 1053885756. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Samuel Egertson located?

Samuel Egertson practices at 5407 Excelsior Blvd Ste B, St Louis Park, MN 55416. The listed phone number is (612) 787-2832.

What is Samuel Egertson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Samuel Egertson was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.