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SAMUEL H KIRBY SAC
NPI 1972855914
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Active since October 15, 2012
3113 E WASHINGTON AVE, MADISON, WI 53704(608) 242-0220(608) 242-1166 Get Directions Write a Review

NPPES record last updated: October 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel H Kirby Sac NPPES

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

SAMUEL H KIRBY SAC (NPI 1972855914) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (15769-131) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1972855914
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSAMUEL H KIRBYCredential: SAC
Location Address3113 E WASHINGTON AVEMadison, WI 53704-4330
Mailing Address3113 E Washington AveMadison, WI 53704-4330 · (608) 242-0220 · Fax (608) 242-1166
Phone(608) 242-0220
Fax(608) 242-1166
Sole ProprietorNo
Enumeration DateOctober 15, 2012
✔ NPI 1972855914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 15769-131
3113 E WASHINGTON AVE, Madison, WI 53704
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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.

LINDSEY MOFFATT
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
JODIE LYNN KROLL LPN
Licensed Practical Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
REBECCA DEAL RN
Registered Nurse (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
KELLIE LEWELLIN RN
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
KATHY LOU JOHNSON LPN
Licensed Practical Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
BRIANNA BINGHAM RN
Registered Nurse
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 416-5777
STEVEN D HESTNES SAC
Counselor (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220
MARCIA MARIE LEASER SAC
Counselor (Addiction (Substance Use Disorder))
3113 E WASHINGTON AVE
MADISON, WI 53704
Dane County (608) 242-0220

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 Samuel Kirby's NPI number?

The NPI number for Samuel Kirby is 1972855914. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Samuel Kirby located?

Samuel Kirby practices at 3113 E Washington Ave, Madison, WI 53704. The listed phone number is (608) 242-0220.

What is Samuel Kirby's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Samuel Kirby was last updated on October 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.