Samantha Wanek, MS, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.013199 Issued in IL

Practice address

2600 N Mayfair Rd Ste 650
Wauwatosa, WI 53226-1322

Phone

(414) 771-9304

NPI assigned

Mar 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Shore Counseling and Consulting Clinic, S.C.

  • Group Psychotherapy Psychologist
  • Milwaukee, WI
  • NPI 1588710073
  NPD (past)
• Carrara-Hay Counseling, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mahomet, IL
  • NPI 1497134738
  NPD (past)

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1871242727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S LOMBARD ST",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539202",
            "telephone_number": "217-586-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 650",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261322",
            "telephone_number": "414-771-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEK",
        "first_name": "SAMANTHA",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12440-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.013199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Walsh, MD
• Deontay Walsh
• John Patrick Walsh, MD
• Angie Yueqi Wan, MD
• Karolyn A Wanat, MD
• Weili Wang, MD
• Lee S Wann, M.D.
• Warby Parker Inc.
• Alison Ward, APNP
• James Thomas Ward, D.D.S.

• Mental Health Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.