ROGER P SMITH
NPI 1114779451
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since April 02, 2024
2357 W MASON ST, GREEN BAY, WI 54303(920) 337-6740 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roger P Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER P SMITH (NPI 1114779451) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (20519) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1114779451
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROGER P SMITH
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (920) 337-6740
Sole ProprietorNo
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
NPI 1114779451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 20519
2357 W MASON ST, Green Bay, WI 54303

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Smith's NPI number?

The NPI number for Roger Smith is 1114779451. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Roger Smith located?

Roger Smith practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 337-6740.

What is Roger Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Roger Smith was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.