SAMANTHA GONNERING


Address: 5228 W Fond Du Lac Ave, Milwaukee, WI 53216-1346
Phone: 4148719111

SAMANTHA GONNERING (NPI# 1255736575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5228 W FOND DU LAC AVE
City MILWAUKEE
State WI
Zip Code 53216-1346

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MILWAUKEE
Zip Code 53216

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Dataset Information

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.

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