JON MAURICE SMOOTS
NPI 1063981710
Prevention Professional in Milwaukee, WI

Active since November 23, 2018
7710 W. CASPER STREET, MILWAUKEE, WI 53216(414) 231-1925 Get Directions Write a Review

NPPES record last updated: November 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Prevention Professional

About JON SMOOTS

This page provides the complete NPI Profile along with additional information for Jon Smoots, a provider established in Milwaukee, Wisconsin with a medical specialization in Prevention Professional. The healthcare provider is registered in the NPI registry with number 1063981710 assigned on November 2018. The practitioner's primary taxonomy code is 405300000X with license number 1319081 (WI). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1063981710 Verify this NPI
Provider Name
JON MAURICE SMOOTS
Gender
Male
Entity Type
Individual
Location Address
7710 W. CASPER STREET MILWAUKEE, WI 53216
Location Phone
(414) 231-1925
Mailing Address
7710 W. CASPER STREET MILWAUKEE, WI 53216
Mailing Phone
(414) 231-1925
Is Sole Proprietor?
Yes
Enumeration Date
11-23-2018
Last Update Date
11-23-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
License No.
1319081
License State
WI
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063981710, enumerated as an "individual" on November 23, 2018.

The provider is located at 7710 W. CASPER STREET MILWAUKEE, WI 53216 and the phone number is (414) 231-1925.

Prevention Professional with taxonomy code 405300000X.