SAMANTHA GONNERING (NPI# 1255736575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255736575 |
Entity Type | Individual |
Full Name | SAMANTHA GONNERING |
Practice Address |
5228 W Fond Du Lac Ave Milwaukee WI 53216-1346 |
Mailing Address |
125 E Wells St Apt Fa601 Milwaukee WI 53202-3579 |
Practice Telephone | 4148719111 |
Mailing Telephone | 9202079613 |
Enumeration Date | 2014-10-29 |
Last Update Date | 2014-10-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17008-130 | WI | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
2235-226 | WI | Behavioral Health & Social Service Providers |
Street Address |
5228 W FOND DU LAC AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53216-1346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417985482 | Andrew Dror Rosenbach | Psychiatry & Neurology | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2006-06-29 |
1689194490 | Caretox Labs Inc | Clinical Medical Laboratory | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-06-22 |
1669909412 | Jessica Mutsch | Social Worker | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-05-11 |
1003354002 | Sophia Elizabeth Prater | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-02-09 |
1114463676 | Taylor Dwyer | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2017-01-09 |
1902349905 | Glenda Nell Barber | Student in an Organized Health Care Education/Training Program | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2016-11-22 |
1700336419 | Achievement Associates Group Inc | Community/Behavioral Health | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2016-10-05 |
1497208144 | Caitlin Busha | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2016-07-29 |
1386090777 | Jenna Emanuele | Counselor | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-05-04 |
1043685712 | Courtney Stack | Student in an Organized Health Care Education/Training Program | 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346 | 2015-12-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
Find all providers in zip 53216 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
1407465701 | Lashana Marie Vance | Counselor | 1311 S 93rd St, Milwaukee, WI 53214-2714 | 2020-07-23 |
1295358430 | Karmelita Moore | Counselor | 620 N 76th St, Milwaukee, WI 53213-3508 | 2020-05-22 |
1245871557 | Neyel Powell | Counselor | 1849 N Martin Luther King Dr Ste 101, Milwaukee, WI 53212-3639 | 2019-10-08 |
1891255782 | Demetrius Levance Anderson Sr. | Counselor | 7732 N 80th St, Milwaukee, WI 53223-3810 | 2019-03-25 |
1639642382 | Shaquita Glenn | Counselor | 1845 N Farwell Ave Ste 301, Milwaukee, WI 53202-1715 | 2019-01-05 |
1992274070 | Amy Lynn Geyser | Counselor | 204 E Capitol Dr Ste 100, Milwaukee, WI 53212-1200 | 2018-11-18 |
1467931691 | The Salvation Army - Wisconsin and Upper Michigan | Counselor | 1730 N 7th Street, Milwaukee, WI 53205 | 2018-08-08 |
Find all providers in MILWAUKEE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.