| Samantha B Kesting, LPC-IT | |
|
112 Peace Lutheran Pkwy, Hartford, WI 53027-1159 | |
| (800) 438-1772 | |
| (262) 293-9737 |
| Full Name | Samantha B Kesting |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 112 Peace Lutheran Pkwy, Hartford, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558874180 | NPI | - | NPPES |
| 100073005 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8406-125 (Wisconsin) | Primary |
| 101YP2500X | Counselor - Professional | 3741-226 (Wisconsin) | Secondary |
| Entity Name | Wisconsin Lutheran Child And Family Service Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083786628 PECOS PAC ID: 0749233898 Enrollment ID: O20050301000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha B Kesting, LPC-IT W175n11120 Stonewood Dr, Germantown, WI 53022-6511 Ph: (800) 438-1772 | Samantha B Kesting, LPC-IT 112 Peace Lutheran Pkwy, Hartford, WI 53027-1159 Ph: (800) 438-1772 |
Mrs. Jean M Meidenbauer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 Mueller St, Hartford, WI 53027 Phone: 262-224-7006 Fax: 262-397-8023 | |
Mrs. Jennifer Everts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Pleasant Ave, Hartford, WI 53027 Phone: 262-457-1121 | |
Jamie Lynn Velvikis, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-323-1055 Fax: 262-323-1055 | |
Mrs. Jessica Mckee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 W Rogers St, Hartford, WI 53027 Phone: 262-623-2747 | |
Mr. Gary Robert Probst, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-244-0729 Fax: 866-238-3845 | |
Jill Bley Klink, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1640 E Sumner St, Hartford, WI 53027 Phone: 262-670-4069 |