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MARYA SAMUELSON M.ED., LPCC
NPI 1073933982
Counselor - Mental Health in Minneapolis, MN

Active since April 17, 2014
3141 E BDE MAKA SKA PKWY, MINNEAPOLIS, MN 55408(952) 994-8114 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Dec 20, 2016 (2 updates tracked since 2016).

About Marya Samuelson M.ed., Lpcc NPPES

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

MARYA SAMUELSON M.ED., LPCC (NPI 1073933982) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (780) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1073933982
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARYA SAMUELSONCredential: M.ED., LPCC
Location Address3141 E BDE MAKA SKA PKWYMinneapolis, MN 55408-2514
Mailing Address3141 E Bde Maka Ska PkwyMinneapolis, MN 55408-2514 · (952) 994-8114
Phone(952) 994-8114
Sole ProprietorYes
Enumeration DateApril 17, 2014
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1073933982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MN · 780✔ Licensed in CA · 3288
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 3288 (CA), 780 (MN)
3141 E BDE MAKA SKA PKWY, Minneapolis, MN 55408
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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 Marya Samuelson's NPI number?

The NPI number for Marya Samuelson is 1073933982. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Marya Samuelson located?

Marya Samuelson practices at 3141 E Bde Maka Ska Pkwy, Minneapolis, MN 55408. The listed phone number is (952) 994-8114.

What is Marya Samuelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marya Samuelson was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.