SAMANTHA TETZLAFF MS
NPI 1043783624
Counselor - Professional in Madison, WI

Active since January 07, 2019PECOS EnrolledAccepts Medicare Assignment
211 S PATERSON ST STE 370, MADISON, WI 53703(608) 535-1095 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, May 11, 2021, Jan 7, 2019 (3 updates tracked since 2019).

About Samantha Tetzlaff Ms NPPES

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

SAMANTHA TETZLAFF MS (NPI 1043783624) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (8199-125) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043783624
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA TETZLAFFCredential: MS
Location Address211 S PATERSON ST STE 370Madison, WI 53703-4501
Mailing Address211 S Paterson St Ste 370Madison, WI 53703-4501
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 7, 2019
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1043783624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 8199-125
211 S PATERSON ST STE 370, Madison, WI 53703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Tetzlaff Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406358191
PECOS Enrollment IDI20250903002043
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
211 S PATERSON ST STE 370
MADISON, WI 53703
Counselor (Mental Health)
211 S PATERSON ST STE 370
MADISON, WI 53703
Counselor (Mental Health)
211 S PATERSON ST STE 370
MADISON, WI 53703
Marriage & Family Therapist
211 S PATERSON ST STE 370
MADISON, WI 53703

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 Tetzlaff's NPI number?

The NPI number for Samantha Tetzlaff is 1043783624. It was assigned to this individual provider in the NPPES registry on January 7, 2019.

Where is Samantha Tetzlaff located?

Samantha Tetzlaff practices at 211 S Paterson St Ste 370, Madison, WI 53703. The listed phone number is (608) 535-1095.

What is Samantha Tetzlaff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samantha Tetzlaff enrolled in Medicare?

Yes. Samantha Tetzlaff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Tetzlaff accept?

Health plans from CareSource (Common Ground Healthcare), Medica, Network Health, Quartz and UnitedHealthcare list Samantha Tetzlaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Tetzlaff was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.