Samaritan Counseling Center of Southern Wisconsin Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Monona, WI
NPI 1962544353 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1962544353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SAMARITAN COUNSELING CENTER OF SOUTHERN WISCONSIN INC
- Practice address
- 5900 Monona Dr Ste 100
Monona, WI 53716-3556 - Phone
- (608) 663-0763
- Fax
- (608) 663-0765
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Angela Laufenberg
- Title
- Executive Director
- Phone
- (608) 663-0763
Corporate family (same tax ID) 1
Practitioners 20
-
William Badger Jr., L.P.C.
-
Phillip Ross Buttner, PH.D
-
Jennifer Lynn Eklof, SAC-IT
-
Dan G Feaster, L.C.S.W. M.S.W.
-
Suzanne Reuschlein Gruen, MSSW, LCSW
-
Jane McCauley I, LCSW
-
Janessa Peterson, APSW
-
Matthew R Rozzi, PHD
-
Victoria Lichtman, MSW, LCSW
-
Brenda R Lovick, MDIV, MA, LMFT
-
Valerie Rose Burns, MS, LPC, CSAC, NCC
-
Gregory W Chism, MSW LCSW
-
Kelly Jo Duprey, MA, LPC
-
Elizabeth A. Lindner, PHD, APNP
-
Kelsey Lynn Markham, MS, LPC
-
Boris Matthews, PH.D.
-
Paul J Melrose, LMFT
-
Stanley Kenneth Nielsen, MSW, LCSW
-
Jill Colleen Nowlen, MSW, LCSW.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041124000763 | WI | Part B Supplier - Clinic/Group Practice | 3870558281 |
Receives reassigned benefits from 9 practitioners Practice locations: Monona, WI |
National Provider Directory
- Tax ID family
- Samaritan Counseling Center
Locations
5701 Raymond Rd
Madison, WI 53711
Phone (608) 663-0763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | HFS 61.91 | WI | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43592300 | Medicaid | WI | |
| 30237400 | Medicaid | WI | |
| 39405400 | Medicaid | WI | |
| 39127800 | Medicaid | WI | |
| 39567300 | Medicaid | WI |
Other names
- Samaritan Counseling Center of Southern Wisconsin
Other providers in Monona, WI
- Erica Yvonne Sain
- Saltzman Counseling Services, LLC
- Renee Saltzman
- Amadou O Sam
- Samaritan Counseling Center
- Elizabeth Sayles
- Angela Schasker
- Kristin Scheeler
- Amy Schellpfeffer
- Courtney Marie Schmidt
All providers in Monona, WI · Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.