SAMANTHA E SIMON MA, LPCC
NPI 1174066997
Counselor - Professional in Woodbury, MN

Q: What is Samantha Simon's NPI number?

The NPI number for Samantha Simon is 1174066997. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Q: What is Samantha Simon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Simon was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 28, 2016

6063 HUDSON RD, SUITE 200, WOODBURY, MN 55125(952) 460-9053(651) 714-9029 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samantha E Simon Ma, Lpcc NPPES

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

SAMANTHA E SIMON MA, LPCC (NPI 1174066997) is an individual professional provider in Woodbury, Minnesota, licensed in Minnesota (CC01336) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1174066997

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameSAMANTHA E SIMONCredential: MA, LPCC

Location Address6063 HUDSON RD, SUITE 200Woodbury, MN 55125-4454

Mailing Address6063 Hudson Rd, Suite 200Woodbury, MN 55125-4454 · (952) 460-9053 · Fax (651) 714-9029

Phone(952) 460-9053

Fax(651) 714-9029

Sole ProprietorNo

Enumeration DateNovember 28, 2016

✔ NPI 1174066997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · CC01336

6063 HUDSON RD, Woodbury, MN 55125

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Other Providers at the Same Location NPPES

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

DR. CRAIG MARTIN ROELKE PSY.D.

Psychologist (Clinical)

6063 HUDSON RD, SUITE 200
WOODBURY, MN 55125

Washington County (952) 460-9022

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 Simon's NPI number?

The NPI number for Samantha Simon is 1174066997. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Samantha Simon located?

Samantha Simon practices at 6063 Hudson Rd Suite 200, Woodbury, MN 55125. The listed phone number is (952) 460-9053.

What is Samantha Simon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Samantha Simon was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.