Provider Demographics
NPI:1649884628
Name:PIEPER, SAMANTHA NICOLE (MA, LPCC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:NICOLE
Last Name:PIEPER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-4219
Mailing Address - Country:US
Mailing Address - Phone:651-384-3791
Mailing Address - Fax:833-777-2781
Practice Address - Street 1:625 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-4219
Practice Address - Country:US
Practice Address - Phone:651-384-3791
Practice Address - Fax:833-777-2781
Is Sole Proprietor?:No
Enumeration Date:2020-09-07
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health