Edward Michael Smith, LPC-IT - Counselor in Dousman, WI

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Edward Michael Smith, LPC-IT is a Counselor - Mental Health based in Dousman, Wisconsin. Edward Michael Smith is licensed to practice in Wisconsin (license number 265001) and his current practice location is W350s1401 Waterville Rd, Dousman, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 253-1862.

NPI number for Edward Michael Smith is 1548892821 and his current mailing address is W350s1401 Waterville Rd, Dousman, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548892821.

Contact Information

Edward Michael Smith, LPC-IT
W350s1401 Waterville Rd,
Dousman, WI 53118-9020
(920) 253-1862
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameEdward Michael Smith
GenderMale
SpecialityCounselor - Mental Health
LocationW350s1401 Waterville Rd, Dousman, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548892821
  • Provider Enumeration Date: 02/05/2020
  • Last Update Date: 02/10/2020

Medical Identifiers

Medical identifiers for Edward Michael Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548892821NPI-NPPES
100060402MedicaidWI
1114196854MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 265001 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Michael Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edward Michael Smith, LPC-IT
W350s1401 Waterville Rd,
Dousman, WI 53118-9020

Ph: (920) 253-1862		Edward Michael Smith, LPC-IT
W350s1401 Waterville Rd,
Dousman, WI 53118-9020

Ph: (920) 253-1862

Reviews and Comments


Counselor in Dousman, WI


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