Jason Samudio
NPI 1215494158 · Addiction (Substance Use Disorder) Counselor · Maple Grove, MN
Jason Samudio is a Addiction (Substance Use Disorder) Counselor provider in Maple Grove, MN (NPI 1215494158).
Provider details
- NPI number
- 1215494158
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 305317 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-02-27
- Last updated
- 2019-02-27
Frequently asked questions
- What is Jason Samudio's NPI number?
- Jason Samudio's National Provider Identifier (NPI) is 1215494158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Samudio's specialty?
- Jason Samudio is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jason Samudio located?
- Jason Samudio's practice location on file with NPPES is 13603 80th Cir N, Maple Grove, MN 55369-8961.
- What is Jason Samudio's phone number?
- The practice phone number listed in the NPPES registry for Jason Samudio is (763) 274-3120.
- Is Jason Samudio's NPI active?
- Yes — Jason Samudio's NPI (1215494158) is active in the NPPES registry as of the last update on 2019-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.