Samantha Gonnering

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2235-226 Issued in WI

Practice address

5228 W Fond Du Lac Ave
Milwaukee, WI 53216-1346

Phone

(414) 871-9111

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1255736575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E WELLS ST APT FA601",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023579",
            "telephone_number": "920-207-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161346",
            "telephone_number": "414-871-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONNERING",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17008-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2235-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cibele Goncalves a Brilhante, DDS
• Irina Goncharova, MD
• Mahita L Gone, FNP
• Gonnering Eye Consultants, S.C.
• Russell S Gonnering, M.D.
• Kelsey Ann Gonring, PHD
• Mary E Gonring, LPC-IT
• Nicole Gonring
• Mary Beth Gonyo, MD
• Erie Gonzalez Gutierrez, MD

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.