NPIMap

Organization Active NPI

Samaritan Counseling Center

  • Adult Mental Health Clinic/Center
  • Monona, WI
National Provider Identifier
1205077427
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
150-123 Issued in WI
Legal business name
SAMARITAN COUNSELING CENTER
Practice address
5900 Monona Dr., Suite 100
Water Tower Place
Monona, WI 53716-3556
Phone
(608) 663-0763
Fax
(608) 663-0765
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dan K Feaster, LCSW
Title
Director
Phone
(608) 663-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 150-123 WI Primary

Addresses

Primary practice location

5900 Monona Dr., Suite 100
Water Tower Place
Monona, WI 53716-3556

Mailing address

5900 Monona Dr., Suite 100
Water Tower Place
Monona, WI 53716-3556
Phone (608) 663-0763

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5900 Monona Dr
Ste 100
Monona, WI 53716
Phone (608) 663-0763

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1205077427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR., SUITE 100",
            "address_2": "WATER TOWER PLACE",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR., SUITE 100",
            "address_2": "WATER TOWER PLACE",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "FEASTER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-663-0763",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "150-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.