Individual provider Active NPI

Samantha Egelhoff Hinkle, LMFT

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1346079712
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2196-124 Issued in WI
Practice address
8025 Excelsior Dr Ste 110
Madison, WI 53717-2902
Phone
(608) 663-6154
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2196-124 WI Primary

Addresses

Primary practice location

8025 Excelsior Dr Ste 110
Madison, WI 53717-2902

Mailing address

6810 Old Sauk Rd
Madison, WI 53717-1121

Other names 1

  • Sam Egelhoff Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104002104 WI Practitioner - Marriage and Family Therapist 2567995194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Counseling LLC CurrentSince Oct 1, 2024 Accepting new patients
The Family Center Marriage & Family Therapist PastSince Aug 4, 2024 Accepting new patients

Locations

700 Ray O Vac Dr
Ste 320
Madison, WI 53711
Phone (608) 520-0846

7633 Ganser Way
Ste 200
Madison, WI 53719
Phone (608) 286-2534

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1346079712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 OLD SAUK RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 EXCELSIOR DR STE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172902",
            "telephone_number": "608-663-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGELHOFF HINKLE",
        "first_name": "SAMANTHA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2196-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "EGELHOFF",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.