Samantha Monika Mitra, MA, LPCC in Mendota Heights, MN - Medicare Mental Health Counselor Provider

Samantha Monika Mitra, MA, LPCC is a medicare enrolled "Counselor - Professional" provider in Mendota Heights, Minnesota. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Optum Behavioral Care Of Colorado, P.c., Care Clinics Llc and her current practice location is 1155 Northland Dr, Mendota Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 223-8898.

Samantha Monika Mitra is licensed to practice in Minnesota (license number 8041) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871255182.

Contact Information

	Samantha Monika Mitra, MA, LPCC
	1155 Northland Dr, Mendota Heights, MN 55120-1288
	(612) 223-8898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Monika Mitra
Gender	Female
Speciality	Mental Health Counselor
Experience	5 Years
Location	1155 Northland Dr, Mendota Heights, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Monika Mitra graduated from medical school in 2021

NPI Data:

NPI Number: 1871255182
Provider Enumeration Date: 10/13/2021
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9931551660
Enrollment ID: I20240118002453

Medical Identifiers

Medical identifiers for Samantha Monika Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871255182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	8041 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Behavioral Care Of Colorado, P.c.	0941648463	150
Care Clinics Llc	7517181266	47

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Monika Mitra allows following entities to bill medicare on her behalf.

Entity Name	Care Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851716245 PECOS PAC ID: 7517181266 Enrollment ID: O20140619000479

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124898556 PECOS PAC ID: 0941648463 Enrollment ID: O20240725003342

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Monika Mitra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Monika Mitra, MA, LPCC 1155 Northland Dr, Mendota Heights, MN 55120-1288 Ph: (612) 223-8898	Samantha Monika Mitra, MA, LPCC 1155 Northland Dr, Mendota Heights, MN 55120-1288 Ph: (612) 223-8898

Reviews and Comments

Counselor in Mendota Heights, MN

Madeline Rae Sandeen, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1370 Mendota Heights Rd, Mendota Heights, MN 55120 Phone: 952-260-3244
Andrew Ryan Horowitz, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 971 Sibley Memorial Hwy Ste 250, Mendota Heights, MN 55118 Phone: 651-698-7358
Michelle Marie Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Centre Pointe Dr Ste 8, Mendota Heights, MN 55120 Phone: 651-461-8033
Olivia Lauren Meier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 Centre Pointe Drive, Ste 7, Mendota Heights, MN 55120 Phone: 952-401-9359
Sarah Lucille Boudreau Ebner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Centre Pointe Dr Ste 8, Mendota Heights, MN 55120 Phone: 651-461-8033 Fax: 651-461-8034
Mrs. Linda Santa Cruz, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1385 Mendota Heights Rd, Suite 200, Mendota Heights, MN 55120 Phone: 651-379-9800
Eliza Woodward Hartley, Counselor Medicare: May Accept Medicare Assignments Practice Location: 1155 Northland Dr, Mendota Heights, MN 55120 Phone: 612-223-8898

Samantha Monika Mitra, MA, LPCC - Medicare Counselor in Mendota Heights, MN