MR. SAMUEL JOSEPH EGERTSON
NPI 1053885756
Marriage & Family Therapist in St Louis Park, MN
NPI Status: Active since January 15, 2019
Contact Information
5407 EXCELSIOR BLVD STE B
ST LOUIS PARK, MN
ZIP 55416
Phone: (612) 787-2832
- Individual
- Male
- Marriage & Family Therapist
About SAMUEL EGERTSON
This page provides the complete NPI Profile along with additional information for Samuel Egertson, a provider established in St Louis Park, Minnesota with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1053885756 assigned on January 2019. The practitioner's primary taxonomy code is 106H00000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1053885756
- Provider Name
- MR. SAMUEL JOSEPH EGERTSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416
- Location Phone
- (612) 787-2832
- Mailing Address
- 1211 JAMES AVE SAINT PAUL, MN 55105
- Mailing Phone
- (314) 753-1627
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-15-2019
- Last Update Date
- 06-15-2021
- Code Navigator
A marriage and family therapist like Samuel Egertson help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- MN
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 2018038889 (MO) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 8 | 8 | 5 | 7 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 16 | 8 | 10 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 1 + 6 + 8 + 1 + 0 + 7 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1053885756 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558581199 | RANDI B DEAL LMFT Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (612) 986-2927 |
| 1942469267 | THERESA BENOIT LMFT, LPC Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (952) 922-9332 |
| 1982021085 | BRIANNE C HENRY MA Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (612) 750-0510 |
| 1033631288 | MS. CALLIE JOYCE MCMILLAN MS Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (612) 483-4994 |
| 1538682646 | DAVID FREDMAN MAMFT, M.ED Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (952) 220-9390 |
| 1336708072 | ERIN EGERTSON Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (832) 381-4204 |
| 1104484997 | CAROL HOOPMAN Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (763) 220-0387 |
| 1871103325 | LUCRESHIA GRANT MS Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (612) 483-4994 |
| 1720647753 | MS. ALLISON LYNN ROSE MA, LAMFT Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (920) 901-4496 |
| 1942884150 | FIONA MCGOVERN Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (612) 787-2832 |
| 1306420617 | JAMES OLSON Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (612) 787-2832 |
| 1801460068 | CHING-YUN CHANG Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B ST LOUIS PARK, MN 55416 (612) 787-2832 |
| 1881268944 | KRISTI MURCHIE Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 787-2832 |
| 1356915532 | DIONNE WAGNER Individual | Marriage & Family Therapist | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 787-2832 |
| 1023794385 | ELLIE SIEDOW Individual | Counselor (Mental Health) | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 283-9221 |
| 1255017521 | CHRISTIAN ANN LARSON Individual | Counselor (Mental Health) | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 283-9221 |
| 1326724667 | DANA LE DUC Individual | Counselor (Mental Health) | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 283-9221 |
| 1386320638 | CARINA BENSON Individual | Counselor (Mental Health) | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 283-9221 |
| 1407532799 | BRODERICK HED Individual | Counselor (Mental Health) | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 283-9221 |
| 1538845938 | RIAH ROE Individual | Counselor (Mental Health) | 5407 EXCELSIOR BLVD STE B MINNEAPOLIS, MN 55416 (612) 787-2832 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053885756, enumerated in the NPI registry as an "individual" on January 15, 2019
The provider is located at 5407 Excelsior Blvd Ste B St Louis Park, Mn 55416 and the phone number is (612) 787-2832
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
This NPI record was last updated on January 15, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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