Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marya Samuelson, MED, LPCC

Individual provider Mental Health Counselor · NPI 1073933982

Marya Samuelson, MED, LPCC is a Mental Health Counselor in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in California and Minnesota.

Licensed in
CA, MN
In the registry since
2014
Specialties on file
4
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3141 E Bde Maka Ska Pkwy
Minneapolis, MN 55408-2514
Phone: (952) 994-8114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 780 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3288 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 3288 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 780 (MN)

Record details

NPI number1073933982
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , LPCC
Sole proprietorYes
NPI enumeratedApril 17, 2014
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

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