SAMANTHA MONIKA MITRA MA, LPCC
NPI 1871255182
Counselor - Professional in Mendota Heights, MN

Active since October 13, 2021PECOS EnrolledAccepts Medicare Assignment
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120(612) 223-8898 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2023, Oct 14, 2021 (2 updates tracked since 2021).

About Samantha Monika Mitra Ma, Lpcc NPPES

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

SAMANTHA MONIKA MITRA MA, LPCC (NPI 1871255182) is an individual professional provider in Mendota Heights, Minnesota, licensed in Minnesota (8041) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871255182
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA MONIKA MITRACredential: MA, LPCC
Location Address1155 NORTHLAND DRMendota Heights, MN 55120-1288
Mailing Address1155 Northland DrMendota Heights, MN 55120-1288 · (612) 223-8898
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2021
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1871255182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 8041
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1155 NORTHLAND DR, Mendota Heights, MN 55120

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 Monika Mitra Ma, 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 ID9931551660
PECOS Enrollment IDI20240118002453
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 16

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

Social Worker (Clinical)
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Counselor (Professional)
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Counselor (Addiction (Substance Use Disorder))
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Psychologist
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Psychologist
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Counselor
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Counselor (Professional)
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120
Counselor (Mental Health)
1155 NORTHLAND DR
MENDOTA HEIGHTS, MN 55120

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 Mitra's NPI number?

The NPI number for Samantha Mitra is 1871255182. It was assigned to this individual provider in the NPPES registry on October 13, 2021.

Where is Samantha Mitra located?

Samantha Mitra practices at 1155 Northland Dr, Mendota Heights, MN 55120. The listed phone number is (612) 223-8898.

What is Samantha Mitra's specialty?

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

Is Samantha Mitra enrolled in Medicare?

Yes. Samantha Mitra 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 Mitra accept?

Health plans from HealthPartners list Samantha Mitra 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 Mitra was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.