Joe Willie Smith Jr., B.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

101Y00000X Issued in WI

Practice address

6040 W Lisbon Ave Ste 200
Milwaukee, WI 53210-2116

Phone

(414) 447-9890

Fax

(414) 447-9891

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306976527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 N 56TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184214",
            "telephone_number": "414-587-0508",
            "fax_number": "414-463-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 W LISBON AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102116",
            "telephone_number": "414-447-9890",
            "fax_number": "414-447-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOE",
        "middle_name": "WILLIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny L Smith, PA
• Jerry Wayne Smith, PA
• Jesse Waylon Smith, D.D.S
• Jessica Smith
• Jessica A Smith, MD
• Johnelle Sharnise Smith
• Judson Charles Smith
• Karly Smith, LPN
• Kelly F Smith, DO
• Kinaya Smith, MD

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.