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SAMUEL BOMBER LPCC
NPI 1700422276
Counselor - Mental Health in Minnetonka, MN

Active since November 20, 2019
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343(952) 215-3756 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Bomber Lpcc NPPES

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

SAMUEL BOMBER LPCC (NPI 1700422276) is an individual mental health provider in Minnetonka, Minnesota, licensed in Minnesota (2272) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1700422276
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL BOMBERCredential: LPCC
Location Address10273 YELLOW CIRCLE DRMinnetonka, MN 55343-9144
Mailing Address10273 Yellow Circle DrMinnetonka, MN 55343-9144 · (952) 215-3756
Phone(952) 215-3756
Sole ProprietorYes
Enumeration DateNovember 20, 2019
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1700422276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 2272
10273 YELLOW CIRCLE DR, Minnetonka, MN 55343
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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.

JOE TONDA
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
EMILY ANN KNUDSON
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN AUTUMN BYZEWSKI
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3753
STEPHANIE TAFT BCBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3764
MAKENNA TAYLOR NIEMAN
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
GRACE MARIE WOLGEMUTH
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN KRISTINE LIPPITT M.A., BCBA, LBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (763) 300-0494
AUBREY ELIZABETH HENDRICKSON
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359

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 Samuel Bomber's NPI number?

The NPI number for Samuel Bomber is 1700422276. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Samuel Bomber located?

Samuel Bomber practices at 10273 Yellow Circle Dr, Minnetonka, MN 55343. The listed phone number is (952) 215-3756.

What is Samuel Bomber's specialty?

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

What insurance does Samuel Bomber accept?

Health plans from HealthPartners list Samuel Bomber 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 Samuel Bomber was last updated on March 29, 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.