SUSANNE SMITH LPC
NPI 1194322065
Counselor - Professional in Kenosha, WI

Active since October 05, 2020PECOS EnrolledAccepts Medicare Assignment
2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2023, Oct 5, 2020 (2 updates tracked since 2020).

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

NPI1194322065
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSUSANNE SMITHCredential: LPC
Location Address2108 63RD STKenosha, WI 53143-4454
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 5, 2020
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
NPI 1194322065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 10233
2108 63RD ST, Kenosha, WI 53143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6608210521
PECOS Enrollment IDI20240220000834
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 (Professional)
2108 63RD ST
KENOSHA, WI 53143
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Counselor
2108 63RD ST
KENOSHA, WI 53143
Counselor
2108 63RD ST
KENOSHA, WI 53143

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.

What insurance does Susanne Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and MercyCare Health Plans and 3 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 with the weekly NPPES data releases published by CMS.