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MS. SAMANTHA ROSE KOEHN SAC-IT
NPI 1033697800
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since August 02, 2018
1701 DOUSMAN ST, GREEN BAY, WI 54303(920) 498-8600 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Samantha Rose Koehn Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SAMANTHA ROSE KOEHN SAC-IT (NPI 1033697800) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (18608-130) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1033697800
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. SAMANTHA ROSE KOEHNCredential: SAC-IT
Location Address1701 DOUSMAN STGreen Bay, WI 54303-3211
Mailing Address1701 Dousman StGreen Bay, WI 54303-3211 · (920) 498-8600
Phone(920) 498-8600
Sole ProprietorNo
Enumeration DateAugust 2, 2018
✔ NPI 1033697800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 18608-130
1701 DOUSMAN ST, Green Bay, WI 54303
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYRSTEN RENEE CHARLES
Social Worker
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
ELAINE JEAN DOXTATOR SAC-IT
Counselor (Addiction (Substance Use Disorder))
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 593-5630
TSYOSHAAHT CATERINA DELGADO CADC III
Counselor (Addiction (Substance Use Disorder))
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 498-8600
SIERRA E KNIER SAC
Counselor (Addiction (Substance Use Disorder))
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 498-8600
BRUCE WINKKA CSAC
Counselor (Addiction (Substance Use Disorder))
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 498-8600
JANE E DEPREY SAC-IT
Counselor (Addiction (Substance Use Disorder))
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 498-8600
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 498-8600
CHESTER MARCOL
Counselor (Addiction (Substance Use Disorder))
1701 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 498-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Koehn's NPI number?

The NPI number for Samantha Koehn is 1033697800. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Samantha Koehn located?

Samantha Koehn practices at 1701 Dousman St, Green Bay, WI 54303. The listed phone number is (920) 498-8600.

What is Samantha Koehn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samantha Koehn was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.