Individual provider Active NPI

Alysia Mary Kathren Smith, LPC

  • Mental Health Counselor
  • Webster, WI
National Provider Identifier
1619529690
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8090-125 Issued in WI
Practice address
4404 Wis-70
Webster, WI 54893
Phone
(715) 349-8554
NPI assigned
Jul 10, 2019
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8090-125 WI Primary

Addresses

Primary practice location

4404 Wis-70
Webster, WI 54893

Mailing address

N11499 McClain Lake Rd
Trego, WI 54888-9142
Phone (715) 416-1451

Other practice location 1

N11499 McClain Lake Rd
Trego, WI 54888-9142
Phone (715) 373-0160

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250620000490 WI Practitioner - Mental Health Counselor 2365954989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Croix Tribal CouncilGroup PAC ID 1153369350, 7 clinicians

Practice addresses (Care Compare)

4404 State Rd
Suite 70
Webster, WI 54893-9251
Phone (715) 349-8554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway to Wellness Counseling, LLC. Mental Health CurrentSince May 12, 2024 Accepting new patients
St. Croix Tribal Council CurrentSince Mar 13, 2025 Accepting new patients
St. Croix Tribal Council Mental Health Past Accepting new patients
Northland Counseling Services LTD Past Accepting new patients

Locations

2221 60th St
Luck, WI 54853
Phone (715) 857-5694

4404 State Road 70
Webster, WI 54893
Phone (715) 349-8554

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1619529690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N11499 MCCLAIN LAKE RD",
            "city": "TREGO",
            "state": "WI",
            "postal_code": "548889142",
            "telephone_number": "715-416-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 WIS-70",
            "city": "WEBSTER",
            "state": "WI",
            "postal_code": "54893",
            "telephone_number": "715-349-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N11499 McClain Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Trego",
            "state": "WI",
            "postal_code": "548889142",
            "country_code": "US",
            "telephone_number": "715-373-0160",
            "fax_number": "715-373-0162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSIA",
        "middle_name": "MARY KATHREN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8090-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, WI

Sources for this page

Verify at the official NPI Registry.