Samara Fairwell, LADC, LPCC
NPI 1770351918 · Professional Counselor · Coon Rapids, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samara Fairwell, LADC, LPCC is a Professional Counselor provider in Coon Rapids, MN (NPI 1770351918).
Provider details
- NPI number
- 1770351918
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LADC, LPCC
- Sex
- Female
- Sole proprietor
- No
- License
- 5428 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1900 Silver Lake Rd NwNew Brighton, MN 55112-1786Phone: (866) 938-4159
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Samara Fairwell's NPI number?
- Samara Fairwell's National Provider Identifier (NPI) is 1770351918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samara Fairwell's specialty?
- Samara Fairwell is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Samara Fairwell located?
- Samara Fairwell's practice location on file with NPPES is 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638.
- What is Samara Fairwell's phone number?
- The practice phone number listed in the NPPES registry for Samara Fairwell is (844) 697-8766.
- Does Samara Fairwell accept Medicare?
- Samara Fairwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samara Fairwell's NPI active?
- Yes — Samara Fairwell's NPI (1770351918) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.