SAMUEL D SMITH LPC
NPI 1376387969
Counselor - Mental Health in Milwaukee, WI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment

7330 W LAYTON AVE, MILWAUKEE, WI 53220(414) 877-4570(414) 817-8940 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Samuel D Smith Lpc NPPES

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

SAMUEL D SMITH LPC (NPI 1376387969) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (7222) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376387969

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSAMUEL D SMITHCredential: LPC

Location Address7330 W LAYTON AVEMilwaukee, WI 53220-3849

Mailing Address7330 W Layton AveMilwaukee, WI 53220-3849 · (414) 877-4570 · Fax (262) 228-6257

Phone(414) 877-4570

Fax(414) 817-8940

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 19, 2024

Last NPPES UpdateJune 20, 2024

NPPES CertifiedJune 20, 2024

✔ NPI 1376387969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WI · 7222

7330 W LAYTON AVE, Milwaukee, WI 53220

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, Medica and more.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

Samuel D 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 ID9436678695

PECOS Enrollment IDI20250521002518

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.