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MRS. SAMANTHA IRENE FERYANCE LPC
NPI 1073242863
Counselor - Professional in Baraboo, WI

Active since June 07, 2022PECOS Enrolled
414 BROADWAY ST STE 101, BARABOO, WI 53913(608) 448-1011 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Samantha Irene Feryance Lpc NPPES

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

MRS. SAMANTHA IRENE FERYANCE LPC (NPI 1073242863) is an individual professional provider in Baraboo, Wisconsin, licensed in Wisconsin (6635-125) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073242863
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SAMANTHA IRENE FERYANCECredential: LPC
Location Address414 BROADWAY ST STE 101Baraboo, WI 53913-2488
Mailing Address414 Broadway St Ste 101Baraboo, WI 53913-2488 · (608) 448-1011
Phone(608) 448-1011
Sole ProprietorYes
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1073242863 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 · 6635-125
414 BROADWAY ST STE 101, Baraboo, WI 53913
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Samantha Irene Feryance Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 15

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

CARLOTA BALAGUER BS
Case Manager/Care Coordinator
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (715) 577-6235
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Clinic/Center (Multi-Specialty)
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (608) 448-1011
CORIN PLUCINSKI
Case Manager/Care Coordinator
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (608) 355-4103
KIERSTYN FJOSER
Case Manager/Care Coordinator
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (608) 355-4103
SARAH ELIZABETH MCCOLLUM MA
Counselor (Professional)
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (715) 496-3513
KRISTA CLEMENTS ORLAN MASL
Case Manager/Care Coordinator
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (608) 963-5444
SARA KRALL MSW
Social Worker (Clinical)
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (608) 280-2700
CONNIE RAE CHAMPION LSW, LPC-IT, SAC-IT
Counselor (Addiction (Substance Use Disorder))
414 BROADWAY ST STE 101
BARABOO, WI 53913
Sauk County (608) 402-4312

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 Feryance's NPI number?

The NPI number for Samantha Feryance is 1073242863. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Samantha Feryance located?

Samantha Feryance practices at 414 Broadway St Ste 101, Baraboo, WI 53913. The listed phone number is (608) 448-1011.

What is Samantha Feryance's specialty?

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

Is Samantha Feryance enrolled in Medicare?

Yes. Samantha Feryance is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Feryance was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.