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Samantha J Hanson , MS, LPC, ATR

Counselor β€’ Appleton, WI

Active NPI 1427464221 Individual Practitioner Female Practitioner
Practice location in NPPES

2436 Barbara Ave
Appleton, WI 549151145

Call 9206590078 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2436 Barbara Ave

Appleton, WI 549151145

Telephone 9206590078
Fax 9208439395
Organization at the Same NPPES Address or Phone
Peace In Colorful Dynamics, Llc Facility NPI 1992319925

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

19 active clinicians are listed under Counselor with a practice address in Appleton, WI (838 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 19 clinicians have the CMS telehealth indicator.

10.5% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-01
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WI 5895

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.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100040516 (WI)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
πŸ“
Updated Practice Location June 01, 2026

Registered at 2436 BARBARA AVE, APPLETON, WI 549151145 (Tel: 9206590078)

πŸ“
Updated Business Mailing Address June 01, 2026

Registered at 2436 BARBARA AVE, APPLETON, WI 549151145 (Tel: 9206590078)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Counselor (license number reported to NPPES: WI 5895)

πŸ“
Updated Practice Location August 27, 2023

Registered at 516 E WISCONSIN AVE, APPLETON, WI 549114863 (Tel: 9206590078)

πŸ“
Updated Business Mailing Address August 27, 2023

Registered at 516 E WISCONSIN AVE, APPLETON, WI 549114863 (Tel: 9206590078)

πŸ“
Updated Practice Location March 30, 2022

Registered at 4650 W SPENCER ST STE 15, APPLETON, WI 549149106 (Tel: 9206590078)

πŸ“
Updated Business Mailing Address March 30, 2022

Registered at 4650 W SPENCER ST STE 15, APPLETON, WI 549149106 (Tel: 9206590078)

βœ…
NPI Profile Active December 08, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 08, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

πŸ“
Updated Business Mailing Address December 08, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

πŸ‘€
Provider Name / Credentials Updated December 08, 2017

Recorded as SAMANTHA HANSON, M.S., LPC, ATR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2017

Counselor

βœ…
NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 15, 2016

Registered at 1496 BELLEVUE ST, GREEN BAY, WI 543114205 (Tel: 9207842644)

πŸ“
Business Mailing Address (Initial Record) August 15, 2016

Registered at 1496 BELLEVUE ST, GREEN BAY, WI 543114205 (Tel: 9207842644)

πŸ‘€
Provider Name / Credentials (Initial Record) August 15, 2016

Recorded as SAMANTHA HANSON, M.S., LPC, ATR

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Counselor

🟒
Initial NPI Registration & Enumeration July 01, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427464221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2014
Last Update: June 01, 2026
Sole Proprietor: Yes

Mailing Address

2436 Barbara Ave

Appleton, WI 549151145

Phone: 9206590078

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.