Individual provider Active NPI

Samantha J Hanson I, M.S., LPC, ATR

  • Counselor
  • Appleton, WI
National Provider Identifier
1427464221
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
5895 Issued in WI
Practice address
2436 Barbara Ave
Appleton, WI 54915-1145
Phone
(920) 659-0078
Fax
(920) 843-9395
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5895 WI Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2436 Barbara Ave
Appleton, WI 54915-1145

Mailing address

2436 Barbara Ave
Appleton, WI 54915-1145
Phone (920) 659-0078

Other identifiers 1

IdentifierTypeStateIssuer
100040516MedicaidWI

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 Science

State licenses

LicenseStateTypeSpecialty
5895WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace in Colorful Dynamics, LLC Counselor CurrentSince Oct 1, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Locations

516 E Wisconsin Ave
Ste B1
Appleton, WI 54911

404 N Main St
Ste 503
Oshkosh, WI 54901
Phone (920) 267-0137

Interoperability endpoints

  • Direct secure messaging: samanthahanson@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1427464221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 BARBARA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151145",
            "telephone_number": "920-659-0078",
            "fax_number": "920-843-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 BARBARA AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151145",
            "telephone_number": "920-659-0078",
            "fax_number": "920-843-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "M.S., LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5895",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100040516",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.