Active NPI
Samantha L Lewis
- Professional Counselor
- Germantown, WI
National Provider Identifier
1306732615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- W177N9856 Rivercrest Dr Ste 112
Germantown, WI 53022-4612 - Phone
- (262) 334-4340
- NPI assigned
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
W177N9856 Rivercrest Dr Ste 112
Germantown, WI 53022-4612
Mailing address
4550 S Quincy Ave
Milwaukee, WI 53207-5223
Phone (815) 742-7156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettle Moraine Counseling LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Bend, WI
- NPI 1568790954
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1306732615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 S QUINCY AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532075223",
"telephone_number": "815-742-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W177N9856 RIVERCREST DR STE 112",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530224612",
"telephone_number": "262-334-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SAMANTHA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.