Samantha B Kesting, LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8406-125 Issued in WI

Practice address

112 Peace Lutheran Pkwy
Hartford, WI 53027-1159

Phone

(800) 438-1772

Fax

(262) 293-9737

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Samantha Dentice Other name

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Lutheran Child and Family Service IncGroup PAC ID 0749233898, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wisconsin Lutheran Child and Family Service Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, WI
  • NPI 1083786628

  Professional

  Medicare reassignment Care Compare group NPD
• Wisconsin Lutheran Child & Family Service, Inc

  • Clinical Social Worker
  • Oak Creek, WI
  • NPI 1922174291
  NPD
• Wisconsin Lutheran Child & Family Service, Inc

  • School Counselor
  • Watertown, WI
  • NPI 1477100055
  NPD (past)
• Wisconsin Lutheran Child & Family Services, Inc

  • Professional Counselor
  • Fond Du Lac, WI
  • NPI 1598143059
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1558874180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226511",
            "telephone_number": "800-438-1772",
            "fax_number": "262-293-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PEACE LUTHERAN PKWY",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530271159",
            "telephone_number": "800-438-1772",
            "fax_number": "262-293-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTING",
        "first_name": "SAMANTHA",
        "middle_name": "B",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8406-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3741-226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100073005",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DENTICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James J Kambol, M.D.
• Henry M Kaminski, MD
• Syed I Karim, M.D.
• Jodie Leigh Karnitz, LPN
• Scott F Kenitz, OD
• Bryan Robert Klauk, M.D.
• Lisa M. Kluge, M.S., CCC-A
• Kathryn Rae Knepel, ARNP
• Debra Knisbeck, NURSE PRACTITONER
• Ross Timothy Koehler, ATC

• Professional Counselor in Hartford, WI
• Providers in Hartford, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.