Pernitz & Smith Psychotherapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PERNITZ & SMITH PSYCHOTHERAPY LLC

Practice address

15460 W Capitol Dr Ste 200
Brookfield, WI 53005-2632

Phone

(262) 264-8497

NPI assigned

Jun 28, 2023

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Smith, PSYD, LPCNPI 1134416308

Title

Psychotherapist/Co-Owner

Phone

(262) 264-8497

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lynn Smith, PSYD, LPC

  • Professional Counselor
  • Brookfield, WI
  • NPI 1134416308
  NPD Authorized official
• Heidi Pernitz, PSYD, LPC

  • Professional Counselor
  • Brookfield, WI
  • NPI 1598059743
  NPD

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1609553064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15460 W CAPITOL DR STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052632",
            "telephone_number": "262-264-8497",
            "fax_number": "262-244-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15460 W CAPITOL DR STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052632",
            "telephone_number": "262-264-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERNITZ & SMITH PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/CO-OWNER",
        "authorized_official_telephone_number": "262-264-8497",
        "authorized_official_credential": "PSYD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teraniqua Renee Pendelton
• Albert David Penney, M.D.
• Susana Perez Hernandez
• Diana Perillo, M.S., CCC-SLP
• Stefanie Renae Perleberg
• Heidi Pernitz, PSYD, LPC
• Kristina Persak, BCBA
• Jessica Ann Perse, M.D.
• Hailey Pescheck
• Peter T. Hansen, M.D., S.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.