NPIMap

Organization Active NPI

Samaritan Counseling Center of Southern Wisconsin Inc

Doing business as Samaritan Counseling Center of Southern Wisconsin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monona, WI
National Provider Identifier
1962544353
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAMARITAN COUNSELING CENTER OF SOUTHERN WISCONSIN INC
Doing business as
Samaritan Counseling Center of Southern Wisconsin
Practice address
5900 Monona Dr Ste 100
Monona, WI 53716-3556
Phone
(608) 663-0763
Fax
(608) 663-0765
NPI assigned
Feb 13, 2007
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Angela Laufenberg
Title
Executive Director
Phone
(608) 663-0763

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X HFS 61.91 WI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5900 Monona Dr Ste 100
Monona, WI 53716-3556

Mailing address

5900 Monona Dr Ste 100
Monona, WI 53716-3556
Phone (608) 663-0763

Other names 1

  • Samaritan Counseling Center of Southern Wisconsin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041124000763 WI Part B Supplier - Clinic/Group Practice 3870558281 Receives reassigned benefits from 9 practitioners
Practice locations: Monona, WI

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5701 Raymond Rd
Madison, WI 53711
Phone (608) 663-0763

5900 Monona Dr
Ste 100
Monona, WI 53716
Phone (608) 663-0763

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1962544353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER OF SOUTHERN WISCONSIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "LAUFENBERG",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-663-0763"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "HFS 61.91",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samaritan Counseling Center of Southern Wisconsin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.