SAMANTHA PHILO (NPI# 1255670501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255670501 |
| Entity Type | Individual |
| Full Name | SAMANTHA PHILO |
| Other Name | SAMANTHA VAN ORNUM |
| Credential | SACIT |
| Practice Address |
4000 W Spencer St Appleton WI 54914-4015 |
| Practice Telephone | 9207359010 |
| Practice Fax Number | 9207359050 |
| Mailing Telephone | 9207359010 |
| Mailing Fax Number | 9207359050 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16581130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
4000 W SPENCER ST |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518029974 | Renee H. Slusarski | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2006-12-14 |
| 1730451865 | Jeanette Ksionek | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2012-02-06 |
| 1336417732 | Samuel Scharpf | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2011-12-13 |
| 1356621072 | Michael Izzo | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2011-08-25 |
| 1770883043 | Heather Marie Martin | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-11-02 |
| 1255656914 | Anne Mclaren | Social Worker | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-04-06 |
| 1639494115 | Nicole Bushman | Social Worker | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-03-29 |
| 1922323344 | Bruce Davis | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-03-29 |
| 1265762603 | Melissa Gabriel | Counselor | 4000 W Spencer St, Appleton, WI 54914-4015 | 2010-01-07 |
| 1407091101 | Options Lab, Inc. | Clinical Medical Laboratory | 4000 W Spencer St, Appleton, WI 54914-4015 | 2008-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373843 | Life Counseling & Consulting, LLC | Counselor | 101 W Edison Avenue, Suite 117, Appleton, WI 54915-1930 | 2019-12-13 |
| 1699233270 | A Village LLC | Counselor | 2031 E Calumet St, Appleton, WI 54915-4742 | 2019-03-04 |
| 1578081766 | Erin Bozich | Counselor | 1000 N Lynndale Dr Ste C, Appleton, WI 54914-3057 | 2017-09-07 |
| 1124542709 | Anthony Edward Klingert | Counselor | 3003 N Richmond St # A, Appleton, WI 54911-1148 | 2017-07-26 |
| 1043661036 | Wisconsin Lutheran Child & Family Service | Counselor | 5300 N Meade St, Appleton, WI 54913-8383 | 2016-06-30 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| 1356766406 | Renee Taylor | Counselor | 201 S Glenridge Ct, Appleton, WI 54914-3905 | 2014-02-26 |
| 1720351729 | James Edward Reider | Counselor | 3301 3301 N. Ballard Road, Appleton, WI 54911-9002 | 2012-02-22 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| Find all providers in APPLETON | ||||
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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.