Michael F Smith, LPC, MS, MA, MBA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11022-125 Issued in WI

Practice address

5699 N Centerpark Way Apt 544
Glendale, WI 53217-4576

Phone

(414) 415-0999

NPI assigned

May 1, 2022

Last updated

Sep 5, 2024By the provider in NPPES

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mind Body Program LLCGroup PAC ID 4183756877, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Business Administration, Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Body Program LLC

  • Professional Counselor
  • Juneau, WI
  • NPI 1205084118
  Medicare reassignment Care Compare group NPD
• Innerventure Counseling LLC

  • Professional Counselor
  • Glendale, WI
  • NPI 1881507697
  Authorized official Same address or phone

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1477298768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 N CENTERPARK WAY APT 544",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174576",
            "telephone_number": "414-721-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 N CENTERPARK WAY APT 544",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174576",
            "telephone_number": "414-415-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "LPC, MS, MA, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11022-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Sletteland
• Kelly Elizabeth Smerz, PH.D.
• Paul Marlin Smerz, PH.D.
• Armani Smith
• Lawrence W Smith, OD
• Zachary M Smith, PT
• Lisa Hahn Speidel, MD
• Larry Sprung, MD
• Ssail Center Inc
• Stans Bootery Inc (Stans Fit For Your Feet)

• Professional Counselor in Glendale, WI
• Providers in Glendale, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.