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SAMANTHA OLSON LMFT, SAC
NPI 1740786912
Marriage & Family Therapist in Union Grove, WI

Active since April 04, 2018PECOS Enrolled
4380 67TH DR # 1028, UNION GROVE, WI 53182(262) 397-9122(262) 800-0623 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Olson Lmft, Sac NPPES

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

SAMANTHA OLSON LMFT, SAC (NPI 1740786912) is an individual marriage & family therapist in Union Grove, Wisconsin, licensed in Wisconsin (1287-124) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740786912
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSAMANTHA OLSONCredential: LMFT, SAC
Location Address4380 67TH DR # 1028Union Grove, WI 53182-9338
Mailing Address4380 67th Dr # 1028Union Grove, WI 53182-9338 · (262) 397-9122
Phone(262) 397-9122
Fax(262) 800-0623
Sole ProprietorYes
Enumeration DateApril 4, 2018
Last NPPES UpdateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1740786912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in WI · 1287-124✔ Licensed in WI · 632-228
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4380 67TH DR # 1028, Union Grove, WI 53182
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Olson Lmft, Sac 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Olson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Behavioral Clinics, Sc
19 mi
Psychiatry
7330 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 58 clinicians in this Medicare group
NPI 1144313859 (414) 281-1677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Olson's NPI number?

The NPI number for Samantha Olson is 1740786912. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Samantha Olson located?

Samantha Olson practices at 4380 67th Dr # 1028, Union Grove, WI 53182. The listed phone number is (262) 397-9122.

What is Samantha Olson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Samantha Olson enrolled in Medicare?

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

Which organization bills Medicare for Samantha Olson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Olson reassigns Medicare benefits to American Behavioral Clinics, Sc (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Olson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Olson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Samantha Olson 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 Olson was last updated on December 8, 2023. 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.