SAMANTHA LEE WOLLER LMFT
NPI 1104601335
Marriage & Family Therapist in Saint Cloud, MN

Active since August 28, 2023PECOS Enrolled
110 6TH AVE S # 100, SAINT CLOUD, MN 56301(320) 253-5930 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Lee Woller Lmft NPPES

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

SAMANTHA LEE WOLLER LMFT (NPI 1104601335) is an individual marriage & family therapist in Saint Cloud, Minnesota, licensed in Minnesota (4387) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104601335
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSAMANTHA LEE WOLLERCredential: LMFT
Location Address110 6TH AVE S # 100Saint Cloud, MN 56301-5209
Mailing Address116 Cole CtMankato, MN 56001-6426 · (507) 779-9001
Sole ProprietorNo
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 27, 2023
NPI 1104601335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 4387
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.
110 6TH AVE S # 100, Saint Cloud, MN 56301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Lee Woller Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Samantha Woller's NPI number?

The NPI number for Samantha Woller is 1104601335. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Samantha Woller located?

Samantha Woller practices at 110 6th Ave S # 100, Saint Cloud, MN 56301. The listed phone number is (320) 253-5930.

What is Samantha Woller's specialty?

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

Is Samantha Woller enrolled in Medicare?

Yes. Samantha Woller is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Woller accept?

Health plans from HealthPartners list Samantha Woller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Woller was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.