Samra Hickey
NPI 1972260768ActiveIndividual· Student in an Organized Health Care Education/Training Program· St Louis Park, MN
Student in an Organized Health Care Education/Training Program with Emily Program P C, practicing in St Louis Park, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1972260768 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 29, 2021 |
| Last updated in NPPES | Nov 29, 2021 |
| Certified by provider | Nov 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Emily Program P CSt Louis Park, MN · 51 clinicians
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