Individual provider Active NPI

Desilynn G Smith, MS, LPC, ICS, CSAC

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1629329404
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
7600 W Capitol Dr
Milwaukee, WI 53222-2055
Phone
(414) 905-3100
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

7600 W Capitol Dr
Milwaukee, WI 53222-2055

Mailing address

8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886

Other practice location 1

8901 W Capitol Dr
Milwaukee, WI 53222-1706
Phone (414) 265-5770

Other practice location 2

4201 N 27th St Fl 7
Milwaukee, WI 53216-1807
Phone (414) 554-5538

Other identifiers 1

IdentifierTypeStateIssuer
100026581MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Uniting Garden Homes Inc Addiction (Substance Use Disorder) CurrentSince Nov 14, 2024 Accepting new patients

Locations

4201 N 27th St
Fl 7
Milwaukee, WI 53216
Phone (414) 438-9404

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1629329404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437",
            "telephone_number": "602-248-8886",
            "fax_number": "602-854-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532222055",
            "telephone_number": "414-905-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532221706",
            "country_code": "US",
            "telephone_number": "414-265-5770",
            "fax_number": "414-260-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 N 27th St Fl 7",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532161807",
            "country_code": "US",
            "telephone_number": "414-554-5538",
            "fax_number": "414-485-7162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DESILYNN",
        "middle_name": "G",
        "credential": "MS, LPC, ICS, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026581",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.