SUSANNE SMITH LPC
NPI 1194322065
Counselor - Professional in Kenosha, WI
About Susanne Smith Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANNE SMITH LPC (NPI 1194322065) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (10233) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susanne Smith Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Susanne Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kenosha, WI 53143
- Reassigned Medicare billing, Wisconsin enrollment
- 72 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Wisconsin enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Susanne Smith's NPI number?
The NPI number for Susanne Smith is 1194322065. It was assigned to this individual provider in the NPPES registry on October 5, 2020.
Where is Susanne Smith located?
Susanne Smith practices at 2108 63rd St, Kenosha, WI 53143. The listed phone number is (262) 652-2406.
What is Susanne Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Susanne Smith enrolled in Medicare?
Yes. Susanne Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Susanne Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susanne Smith reassigns Medicare benefits to 2 organizations: Professional Services Group, Inc. (Kenosha, WI) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susanne Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susanne Smith accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 6 other insurers list Susanne Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Susanne Smith was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Susanne Smith, LPC · NPI 1194322065
Professional provider in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since October 5, 2020.
## Identity
- **NPI:** 1194322065 (Entity type: Individual)
- **Enumerated:** October 5, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 10233 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2108 63RD ST, Kenosha, WI 53143-4454
- **Phone:** (262) 652-2406
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Professional Services Group, Inc. (NPI 1619024262, Kenosha, WI); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194322065) · Data from the CMS NPPES public registry.