Individual provider Active NPI

Mary E Smith, PC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1962027342
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
6300 Enterprise LN Ste 301
Madison, WI 53719-1193
Phone
(608) 828-3636
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

6300 Enterprise LN Ste 301
Madison, WI 53719-1193

Mailing address

6300 Enterprise LN Ste 301
Madison, WI 53719-1193
Phone (608) 469-0966

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
I20250304001728 WI Practitioner - Mental Health Counselor 1355862525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Center for Change LLC CurrentSince Jun 14, 2020 Accepting new patients
Uplands Counseling Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

1118 Professional Dr
Dodgeville, WI 53533
Phone (608) 828-3636

6502 Grand Teton Plz
Ste 102
Madison, WI 53719
Phone (608) 827-7220

6300 Enterprise Ln
Ste 301
Madison, WI 53719
Phone (608) 828-3636

Organizations & group practices 2

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1962027342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 ENTERPRISE LN STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191193",
            "telephone_number": "608-469-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ENTERPRISE LN STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191193",
            "telephone_number": "608-828-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.