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SAMANTHA MARIE MITTLESTADT CPS
NPI 1730918467
Peer Specialist in Madison, WI

Active since July 31, 2024
116 W WASHINGTON AVE, MADISON, WI 53703(608) 251-6901(608) 251-1549 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Marie Mittlestadt Cps NPPES

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

SAMANTHA MARIE MITTLESTADT CPS (NPI 1730918467) is an individual peer specialist in Madison, Wisconsin, licensed in Wisconsin (171M00000X) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1730918467
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSAMANTHA MARIE MITTLESTADTCredential: CPS
Location Address116 W WASHINGTON AVEMadison, WI 53703-2740
Mailing Address116 W Washington AveMadison, WI 53703-2740 · (608) 251-6901
Phone(608) 251-6901
Fax(608) 251-1549
Sole ProprietorYes
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1730918467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WI · 171M00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
116 W WASHINGTON AVE, Madison, WI 53703
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Other Providers at the Same Location NPPES

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

JAKE LEBRECK
Case Manager/Care Coordinator
116 W WASHINGTON AVE
MADISON, WI 53703
Dane County (608) 416-0171

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 Mittlestadt's NPI number?

The NPI number for Samantha Mittlestadt is 1730918467. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Samantha Mittlestadt located?

Samantha Mittlestadt practices at 116 W Washington Ave, Madison, WI 53703. The listed phone number is (608) 251-6901.

What is Samantha Mittlestadt's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Samantha Mittlestadt was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.