SAMANTHA WOMELDORF LADC, LPCC
NPI 1275230468
Counselor - Professional in Chaska, MN

Active since February 08, 2023PECOS EnrolledAccepts Medicare Assignment
1045 STOUGHTON AVE, CHASKA, MN 55318(952) 448-6557(952) 448-6047 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Womeldorf Ladc, Lpcc NPPES

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

SAMANTHA WOMELDORF LADC, LPCC (NPI 1275230468) is an individual professional provider in Chaska, Minnesota, licensed in Minnesota (3690) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1275230468
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA WOMELDORFCredential: LADC, LPCC
Location Address1045 STOUGHTON AVEChaska, MN 55318-2149
Mailing Address102 E 2nd StChaska, MN 55318-1906 · (952) 856-3932 · Fax (952) 448-6047
Fax(952) 448-6047
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
NPI 1275230468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 3690
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 305744 (MN)
1045 STOUGHTON AVE, Chaska, MN 55318

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 and accepts Medicare assignment

Samantha Womeldorf Ladc, Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981133154
PECOS Enrollment IDI20250203001165
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.

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
1045 STOUGHTON AVE
CHASKA, MN 55318
Counselor
1045 STOUGHTON AVE
CHASKA, MN 55318
Nurse Practitioner (Psychiatric/Mental Health)
1045 STOUGHTON AVE
CHASKA, MN 55318
Counselor (Professional)
1045 STOUGHTON AVE
CHASKA, MN 55318
Counselor (Professional)
1045 STOUGHTON AVE
CHASKA, MN 55318
Clinic/Center (Rehabilitation, Substance Use Disorder)
1045 STOUGHTON AVE
CHASKA, MN 55318
Counselor (Professional)
1045 STOUGHTON AVE
CHASKA, MN 55318
Counselor (Addiction (Substance Use Disorder))
1045 STOUGHTON AVE
CHASKA, MN 55318

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 Womeldorf's NPI number?

The NPI number for Samantha Womeldorf is 1275230468. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Samantha Womeldorf located?

Samantha Womeldorf practices at 1045 Stoughton Ave, Chaska, MN 55318. The listed phone number is (952) 448-6557.

What is Samantha Womeldorf's specialty?

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

Is Samantha Womeldorf enrolled in Medicare?

Yes. Samantha Womeldorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Womeldorf accept?

Health plans from HealthPartners list Samantha Womeldorf 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 Womeldorf was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.