SUSANNE SMITH (NPI# 1194322065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194322065 |
| Entity Type | Individual |
| Full Name | SUSANNE SMITH |
| Credential | LPC-IT |
| Practice Address |
2108 63rd St Kenosha WI 53143-4454 |
| Practice Telephone | 2626522406 |
| Mailing Telephone | 6265224062 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 4744-226 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043711005 | Susanne Drott Smith | Counselor | 9100 Overland Plz, Overland, MO 63114-6123 | 2018-02-26 |
| 1639400138 | Susanne Day Kenagy Smith | Physician Assistant | 450 Brookline Ave, Boston, MA 02215-5418 | 2010-01-22 |
| 1669661286 | Susanne Marie Smith | Physician Assistant | 2322 E 22nd St, Suite 101, Cleveland, OH 44115-3176 | 2007-10-19 |
| Street Address |
2108 63RD ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609982040 | Brian A Wolf | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2006-08-21 |
| 1033718440 | Mackenzie Dodge | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-19 |
| 1215540547 | Nicholas Dean Dubios-rose | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-08-26 |
| 1972150654 | Nathaniel Willkomann | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-08-19 |
| 1710548185 | Megan Schilz | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-06-25 |
| 1588122253 | Carissa Johnson | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-03-12 |
| 1386117851 | Sarah Magallon | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-08 |
| 1992278964 | Jamie-lee Nietupski | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-02 |
| 1881166189 | Arturo Perez | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-12-27 |
| 1669943874 | Amy Macdonald-wojcik | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-12-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762996 | Monica Lillian Cummings | Counselor | 7751 5th Ave, Kenosha, WI 53143-6006 | 2020-05-18 |
| 1952675514 | Katherine Terrazas | Counselor | 1593 30th Ct, Kenosha, WI 53144-3344 | 2012-02-29 |
| 1902175466 | Nichole Marie James | Counselor | 8503 75th St., Suite A, Kenosha, WI 53142-7620 | 2011-12-29 |
| 1841570868 | Nicole Schneider | Counselor | 6912 54th St, Kenosha, WI 53144-3750 | 2011-08-22 |
| 1871892588 | Christina Marie Holcomb | Counselor | 2619 67th St, Kenosha, WI 53143-4631 | 2011-03-21 |
| 1689840332 | Tony Curtis Moore | Counselor | 6723 17th Ave, Kenosha, WI 53143-4914 | 2008-05-02 |
| 1215540547 | Nicholas Dean Dubios-rose | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-08-26 |
| 1982242053 | Emilie Kay | Counselor | 2108-63 Street, Kenosha, WI 53143-5314 | 2019-12-19 |
| 1760020887 | Amber Robinson | Counselor | 2108-63 Street, Kenosha, WI 53143-4454 | 2019-12-19 |
| 1386282564 | Amber Plowman | Counselor | 2108-63 Street, Kenosha, WI 53143-5314 | 2019-12-18 |
| Find all providers in KENOSHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.