EDWARD MICHAEL SMITH (NPI# 1548892821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548892821 |
| Entity Type | Individual |
| Full Name | EDWARD MICHAEL SMITH |
| Credential | LPC-IT |
| Practice Address |
W350s1401 Waterville Rd Dousman WI 53118-9020 |
| Practice Telephone | 9202531862 |
| Mailing Telephone | 9202531862 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
265001 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1114196854 | 05 | |
| WI | 100060402 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346892452 | Edward A Smith | Physical Therapist | 2647 N Veterans Blvd, Eagle Pass, TX 78852-6665 | 2019-07-10 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1891125688 | Edward Smith | Counselor | 3609 Memory Ln, Raleigh, NC 27604-4127 | 2013-11-15 |
| 1831447267 | Edward L Smith | Dentist | 340 Aptos Ridge Circle, Watsonville, CA 95076 | 2012-08-15 |
| 1699078097 | Edward Lynn Smith | Counselor | 1179 Nw 97th Dr, Coral Springs, FL 33071-5962 | 2010-12-07 |
| 1073822607 | Edward Hardin Smith Jr. | Dermatology | 514 Winchester Dr, Augusta, GA 30909-3236 | 2010-09-30 |
| 1184956443 | Edward Smith | Massage Therapist | 471 Jones Rd, Vestal, NY 13850-5244 | 2010-02-10 |
| 1821278896 | Edward Albert Smith | Internal Medicine | 2036 E Hackamore St, Mesa, AZ 85213-4003 | 2007-11-07 |
| 1740482017 | Edward Charles Smith | Spec/Tech, Cardiovascular | 3303 6th Ave, Des Moines, IA 50313-4136 | 2007-05-31 |
| 1790997708 | Edward Huntington Smith Jr. | Specialist/Technologist | 7001 W 56th Street, Indianapolis, IN 46254 | 2007-05-03 |
| Street Address |
W350S1401 WATERVILLE RD |
| City | DOUSMAN |
| State | WI |
| Zip Code | 53118-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114196854 | Lad Lake, Inc. | Community Based Residential Treatment Facility, Mental Illness | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2008-02-27 |
| 1669080974 | Brian Froemming | Social Worker | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2020-07-22 |
| 1780121699 | Rebecca Barnes | Nurse Practitioner | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2017-01-30 |
| 1063686210 | George Vohwinkle | Social Worker | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2008-04-18 |
| 1801060199 | Steve Ellmann | Psychologist | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2008-04-17 |
| 1467626762 | Maraleta Swenson | Social Worker | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2008-04-17 |
| 1356515126 | Dennis James Neuenfeldt | Social Worker | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2008-04-14 |
| 1447424163 | Mary Bachman | Registered Nurse | W350s1401 Waterville Rd, Dousman, WI 53118-9020 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386977965 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 307 Wilson Ave., Dousman, WI 53118 | 2009-09-14 |
| 1013240696 | Oconomowoc Devemopmental Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 201-203 Cory Ave., Dousman, WI 53118 | 2009-09-14 |
| 1184800880 | William M Buzogany | Psychiatry & Neurology | W350 S1401 Waterville Road, Lad Lake Inc, Dousman, WI 53118 | 2008-01-14 |
| 1821105313 | Carol J Lagerman | Nurse Practitioner | 370 Venture Dr, Dousman, WI 53118 | 2006-08-23 |
| 1235272212 | Dennis Mel Schaeffer | Dentist | 261 North Main Street, Dousman, WI 53118 | 2007-02-15 |
| 1003975046 | Steven A Donley | Chiropractor | 105 N Main St, Dousman, WI 53118 | 2006-12-06 |
| 1558499236 | Richard Vincent Whalen IIi | Dentist | 261 North Main Street, Dousman, WI 53118-0187 | 2007-03-02 |
| 1811025364 | Dousman Family Dentistry | Dentist | 261 N. Main Street, Dousman, WI 53118-0187 | 2007-02-28 |
| 1356749519 | Amy Vertz | Physical Therapy Assistant | 183 County Road D, Dousman, WI 53118-8737 | 2014-12-19 |
| 1629633862 | Sarah Margaret Ditorrice | Specialist/Technologist | 220 Zeck Ct, Dousman, WI 53118-8816 | 2019-05-02 |
| Find all providers in zip 53118 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.