SAMANTHA JEAN BAERHARDT (MS, LPC) – Professional Counselor, NPI 1205415684

SAMANTHA JEAN BAERHARDT (MS, LPC) is a healthcare provider. based in Mankato, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC. They hold a License No. 2806 (MN). The NPI Number for SAMANTHA JEAN BAERHARDT (MS, LPC) is 1205415684

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JEAN BAERHARDT (MS, LPC)
NPI
1205415684
Phone
(507) 625-4884
Address
510 LONG ST STE 101
Enumeration Date
5 April 2021
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5406929428708
Graduation Year
2018 (8 years ago)
PAC ID
6103367651
Group Practice PAC ID
8729520192
Professional Enrollment ID
I20240924002119
Address ID
VA226111347BE100XXCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for SAMANTHA JEAN BAERHARDT (MS, LPC)

  • 510 LONG ST STE 101

    MANKATO, MN 560014397

    Phone: (507) 625-4884

    Fax: (507) 625-6311

    Type: Mailing

  • 100 CHALMERS CT

    BERRYVILLE, VA 226111347

    Phone: (540) 692-9428

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240924002119IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729520192View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Nurse PractitionerRI
Mental Health CounselorVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SAMANTHA JEAN BAERHARDT (MS, LPC)?
SAMANTHA JEAN BAERHARDT (MS, LPC) — NPI 1205415684 — is the standard way to identify this listing.
Is SAMANTHA JEAN BAERHARDT (MS, LPC) still practicing?
SAMANTHA JEAN BAERHARDT (MS, LPC) is currently listed as active in the public NPI registry.
What is SAMANTHA JEAN BAERHARDT (MS, LPC)'s specialty?
The listing groups SAMANTHA JEAN BAERHARDT (MS, LPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is SAMANTHA JEAN BAERHARDT (MS, LPC) based?
SAMANTHA JEAN BAERHARDT (MS, LPC) is tied to Mankato, Minnesota in the data we show; additional addresses may exist on the full record.
Why does SAMANTHA JEAN BAERHARDT (MS, LPC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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