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ALICE SAMUEL MA
NPI 1497475933
Counselor - Mental Health in Saint Paul, MN

Active since September 02, 2022PECOS Enrolled
2230 COMO AVE, SAINT PAUL, MN 55108(651) 645-5323 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alice Samuel Ma NPPES

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

ALICE SAMUEL MA (NPI 1497475933) is an individual mental health provider in Saint Paul, Minnesota and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497475933
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALICE SAMUELCredential: MA
Location Address2230 COMO AVESaint Paul, MN 55108-1720
Mailing Address2265 Como AveSaint Paul, MN 55108-1737
Phone(651) 645-5323
Sole ProprietorYes
Enumeration DateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
✔ NPI 1497475933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2230 COMO AVE, Saint Paul, MN 55108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice Samuel Ma 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alice Samuel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emily Program P C
0.1 mi
Mental Health (Including Community Mental Health Center)
2265 COMO AVENUE, SUITE 100
St Paul, MN 55108
  • Reassigned Medicare billing, Minnesota enrollment
  • 121 clinicians in this Medicare group
NPI 1528165065 (866) 364-5977
Lorenz Clinic, LLC
25 mi
Marriage & Family Therapist
1772 STEIGER LAKE LN, SUITE 220
Victoria, MN 55386
  • Reassigned Medicare billing, Minnesota enrollment
  • 33 clinicians in this Medicare group
NPI 1982900510 (952) 443-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JENNIFER WILSON
Social Worker
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 635-0095
JANELLE ZIMMERMAN MA, LPCC
Counselor (Mental Health)
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
SHANELL PARIS FYLE RDN
Student in an Organized Health Care Education/Training Program
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
ANNA CATHERINE BISHOP MS, RDN
Dietitian, Registered
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977
BEVERLY LABRIE LMFT
Marriage & Family Therapist
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
EMILY PROGRAM PC
Community Based Residential Treatment Facility, Mental Illness
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
JENNIFER LYNN WOLF BURG RD
Dietitian, Registered
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (651) 645-5323
MACKENNA LILLIS PAGE MA
Counselor (Professional)
2230 COMO AVE
SAINT PAUL, MN 55108
Ramsey County (888) 364-5977

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 Alice Samuel's NPI number?

The NPI number for Alice Samuel is 1497475933. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Where is Alice Samuel located?

Alice Samuel practices at 2230 Como Ave, Saint Paul, MN 55108. The listed phone number is (651) 645-5323.

What is Alice Samuel's specialty?

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

Is Alice Samuel enrolled in Medicare?

Yes. Alice Samuel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alice Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Samuel reassigns Medicare benefits to 2 organizations: Emily Program P C (St Paul, MN) and Lorenz Clinic, LLC (Victoria, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Samuel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Samuel accept?

Health plans from HealthPartners and Sanford Health Plan list Alice Samuel 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 Alice Samuel was last updated on September 2, 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.