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

Samra Hickey

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972260768

Samra Hickey is a Mental Health Counselor in St Louis Park, Minnesota. Qualified in 2019, 7 years ago. Practices with Emily Program P C, a 50-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2021
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Practice location Address checks out

5354 Parkdale Dr
St Louis Park, MN 55416-1603
Phone: (888) 364-5977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1972260768
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 19, 2021
Mailing address11251 Xavier Cir, Bloomington, MN 55437-3143

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Emily Program P C — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Louis Park