SAMANTHA JANE MCKENZIE (NPI# 1477908812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477908812 |
| Entity Type | Individual |
| Full Name | SAMANTHA JANE MCKENZIE |
| Credential | BA |
| Practice Address |
1039 W Mason St Green Bay WI 54303-1842 |
| Practice Telephone | 9209657707 |
| Practice Fax Number | 8884966227 |
| Mailing Telephone | 9209657707 |
| Mailing Fax Number | 8884966227 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430063 | Samantha Maria Mckenzie | Counselor | 1324 Commerce Drive, Dillon, SC 29536 | 2019-07-25 |
| Street Address |
1039 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811068851 | Karen Marie Pleshe | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2006-11-13 |
| 1609354166 | Phoenix Van Laanen | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2018-08-06 |
| 1750898458 | Alicia Wheeler | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2018-01-03 |
| 1245756873 | Jordan Lynne Matuszak | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-08-15 |
| 1144745571 | Seniasor Rodriguez-gomez | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-08-07 |
| 1144742040 | Angela Dawn Schiessl | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-07-12 |
| 1700313673 | Erica Janisch | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-05-22 |
| 1538692140 | Renee Socker | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-04-10 |
| 1245688993 | Andrea Labine, Ph.d LLC | Psychologist | 1039 W Mason St, 116, Green Bay, WI 54303-1842 | 2016-06-02 |
| 1194181891 | Tyler Robertson | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437932 | Amanda Kay Harpt | Counselor | 516 Hilltop Dr, Green Bay, WI 54301-2718 | 2020-01-29 |
| 1649825159 | Ashley L Scott | Counselor | 416 Crooks St, Green Bay, WI 54301-4529 | 2019-08-02 |
| 1215291950 | Kristine Kay Sack | Counselor | 926 Willard Drive, Ste 136, Green Bay, WI 54304-5071 | 2012-06-27 |
| 1184717092 | Catherine S.c. Mackenzie | Counselor | 444 South Adams St, Suite 6, Green Bay, WI 54301 | 2006-10-02 |
| 1730272642 | Julie Ann Kruk | Counselor | 444 South Adams St., Suite 6, Green Bay, WI 54301 | 2006-10-02 |
| 1609972280 | Suzette Carolyn-eve Diederich | Counselor | 3867 Robin Ln, Green Bay, WI 54313-4601 | 2006-09-15 |
| 1013562230 | Sara Noel Wisneski | Counselor | 1061 W Mason St, Green Bay, WI 54303-1858 | 2019-08-05 |
| 1821568437 | John R Cheslock | Counselor | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2018-11-27 |
| 1164952933 | Rebecca Lou Rauens | Counselor | 1499 6th St, Green Bay, WI 54304-2252 | 2017-06-14 |
| 1932642592 | Stacie M Koskinen | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-11-29 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on SAMANTHA JANE MCKENZIE.
| 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.