Samantha Garrett
Individual provider Active NPI Mental Health Counselor · Twin Lakes, WI
NPI 1649156258 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1649156258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 11977125 (WI)
- Practice address
- 600 Country LN
Twin Lakes, WI 53181-9502 - Phone
- (262) 462-0360
- NPI assigned
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17162131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 11977125 | WI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11977125 | WI | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17162131 | WI |
Addresses
Primary practice location
600 Country LN
Twin Lakes, WI 53181-9502
Mailing address
1012 Lakefield Rd Apt 5
Grafton, WI 53024-9788
Phone (414) 748-6905
Other providers in Twin Lakes, WI
- Mark A Dull
- Family Vision & Contact Lens CTRS SC
- Ashley D. Fauth
- Sara Fisher
- Colleen Fiumefreddo
- Kyle Garro
- Christine Gerling-LMT
- Sherry Lynn Gonzalez
- Laura Greenwald
- Kateri Lynne Gullifor
All providers in Twin Lakes, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.