Active NPI
Samantha Jo Korn, LPC-IT
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1639908510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8041-226
- Practice address
- 1324 W Clairemont Ave Ste 3
Eau Claire, WI 54701-6191 - Phone
- (715) 842-9500
- Fax
- (715) 848-0425
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 8041-226 | WI | Primary |
Addresses
Primary practice location
1324 W Clairemont Ave Ste 3
Eau Claire, WI 54701-6191
Mailing address
630 S 36TH Ave
Wausau, WI 54401-3930
Phone (855) 607-8242
Other names 1
- Samantha Jo Butterfield
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8041-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Counseling LLC | Current | Accepting new patients | |
| Family Therapy Associates, LLC | Current | Accepting new patients | |
| Behavioral Health Clinic, LLC | Professional | Past | Accepting new patients |
Locations
3610 Oakwood Mall Dr
Ste 104
Eau Claire, WI 54701
Phone (815) 210-8739
150 W 1st St
Ste 270
New Richmond, WI 54017
Phone 7152464840130
Organizations & group practices 3
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)
- New Richmond, WI
- NPI 1215239736
-
- Mental Health Counselor
- Maple Grove, MN
- NPI 1598034324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1639908510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S 36TH AVE",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544013930",
"telephone_number": "855-607-8242",
"fax_number": "715-848-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 W CLAIREMONT AVE STE 3",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016191",
"telephone_number": "715-842-9500",
"fax_number": "715-848-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORN",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "LPC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8041-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "BUTTERFIELD",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.