Individual provider Active NPI

Samantha F Ritchie, MA

  • Marriage & Family Therapist
  • Green Bay, WI
National Provider Identifier
1376117341
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
926 Willard Dr Ste 136
Green Bay, WI 54304-5296
Phone
(920) 461-5820
Fax
(888) 443-6342
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 Primary

Addresses

Primary practice location

926 Willard Dr Ste 136
Green Bay, WI 54304-5296

Mailing address

926 Willard Dr Ste 136
Green Bay, WI 54304-5296
Phone (920) 461-5820

Other names 1

  • Samantha F Burrey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Samantha@kwaftc.com Direct

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberley Welk and Associates, LLC Marriage & Family Therapist CurrentSince May 16, 2021 Accepting new patients

Locations

926 Willard Dr
Ste 136
Green Bay, WI 54304
Phone (920) 460-9301

Interoperability endpoints

  • Direct secure messaging: samantha@kwaftc.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1376117341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 WILLARD DR STE 136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045296",
            "telephone_number": "920-461-5820",
            "fax_number": "888-443-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 WILLARD DR STE 136",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045296",
            "telephone_number": "920-461-5820",
            "fax_number": "888-443-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "SAMANTHA",
        "middle_name": "F",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Samantha@kwaftc.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "926 Willard Dr Ste 136",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543045296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BURREY",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.