SAMANTHA JANE MCKENZIE BA
NPI 1477908812
Counselor - Professional in Green Bay, WI

Active since May 03, 2016
123 N OAKLAND AVE, GREEN BAY, WI 54303(920) 770-4088(651) 705-0026 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Jane Mckenzie Ba NPPES

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

SAMANTHA JANE MCKENZIE BA (NPI 1477908812) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (5304) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1477908812
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMANTHA JANE MCKENZIECredential: BA
Location Address123 N OAKLAND AVEGreen Bay, WI 54303-2831
Mailing Address123 N Oakland AveGreen Bay, WI 54303-2831 · (920) 770-4088 · Fax (651) 705-0026
Fax(651) 705-0026
Sole ProprietorYes
Enumeration DateMay 3, 2016
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
NPI 1477908812 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 · 5304
123 N OAKLAND AVE, Green Bay, WI 54303

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Counselor (Mental Health)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Social Worker (Clinical)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Clinic/Center (Mental Health (Including Community Mental Health Center))
123 N OAKLAND AVE
GREEN BAY, WI 54303
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Social Worker
123 N OAKLAND AVE
GREEN BAY, WI 54303
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303

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 Mckenzie's NPI number?

The NPI number for Samantha Mckenzie is 1477908812. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Samantha Mckenzie located?

Samantha Mckenzie practices at 123 N Oakland Ave, Green Bay, WI 54303. The listed phone number is (920) 770-4088.

What is Samantha Mckenzie's specialty?

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

When was this NPI record last updated?

The NPPES record for Samantha Mckenzie was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.