Samara Fairwell, LADC, LPCC
Professional Counselor · Coon Rapids, MN
Samara Fairwell, LADC, LPCC is a professional counselor with a practice address in Coon Rapids, Minnesota, and NPI 1770351918, issued on Dec 18, 2023. Check the license (Minnesota 5428, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samara Fairwell
- Credential
- LADC, LPCC
- Primary taxonomy
- Professional Counselor 101YP2500X
- License numbers
- 5428 MN
306766 MN
Self-reported in NPPES; status is on the state search - Practice location
- 11660 Round Lake Blvd NW, Coon Rapids, MN 55433
- Phone
- (844) 697-8766
- Enumerated
- Dec 18, 2023
- Record last updated
- Feb 23, 2026
- Medicare enrollment
- Enrolled (PECOS I20260305000917); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 2,407 in Minnesota → Look up another NPI →
Also registered at 11660 Round Lake Blvd NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Melanie Carlson-Kappes, MA, LMFTMarriage & Family Therapist1043802432
Verify Samara Fairwell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 5428Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Nystrom And Associates LtdCoon Rapids, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samara Fairwell among 2,407 professional counselor records in Minnesota
Samara Fairwell, LADC, LPCC is one of 2,407 professional counselor records with a practice address in Minnesota. 29% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 75% of them.
- NPI issued2023 · 75% of these records are older, 18% newer
- In a Medicare fileYes · 29% of these records are
- In the CMS Doctors and Clinicians fileYes · 38% of these records are
- Graduated2023 · median 2016 among the 910 with a school on file
- Record last updated2026 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
31 professional counselor records list a practice address in Coon Rapids
They are 31 of the 1,802 NPPES records with a practice address in Coon Rapids, and 2,407 professional counselor records in Minnesota.
All 2,407 in Minnesota → Every provider in Coon Rapids → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Heidi Albers, LPCC, LADCCoon Rapids, MN 554331619322450
- Kristi Betker, LPCCCoon Rapids, MN 554331528579802
- Tammy Bueckers YossCoon Rapids, MN 554331295181089
- Alice Congdon, L.P.C.C.Coon Rapids, MN 554331396102364
- Abigail FletcherCoon Rapids, MN 554331043670581
- Rose Freund, MA, LPCCCoon Rapids, MN 554331538688833
- Alissa Heinonen, MA, LPCCCoon Rapids, MN 554331407356793
- Jodi Helseth, M.A., LPCCCoon Rapids, MN 554331225187941
Common questions
What is Samara Fairwell, LADC, LPCC's NPI number?
Samara Fairwell, LADC, LPCC's National Provider Identifier (NPI) is 1770351918, issued on Dec 18, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Samara Fairwell, LADC, LPCC located?
The NPPES record lists a practice address at 11660 Round Lake Blvd NW, Coon Rapids, MN, 55433. Phone: (844) 697-8766. Providers update this record themselves, so call before visiting.
How can I verify Samara Fairwell, LADC, LPCC's license?
NPPES lists Minnesota license number 5428, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.