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STEPHANIE RAE SMITH CLC
NPI 1487160644
Counselor in West Bend, WI

Active since December 22, 2017
5126 MARTHA DR, WEST BEND, WI 53095(262) 501-1359 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Dec 22, 2017 (3 updates tracked since 2017).

About Stephanie Rae Smith Clc NPPES

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

STEPHANIE RAE SMITH CLC (NPI 1487160644) is an individual counselor in West Bend, Wisconsin, licensed in Wisconsin (ALPP-42079) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1487160644
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTEPHANIE RAE SMITHCredential: CLC
Location Address5126 MARTHA DRWest Bend, WI 53095-8794
Mailing Address5126 Martha DrWest Bend, WI 53095-8794 · (262) 501-1359
Phone(262) 501-1359
Sole ProprietorYes
Enumeration DateDecember 22, 2017
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1487160644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · ALPP-42079
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5126 MARTHA DR, West Bend, WI 53095
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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 Stephanie Smith's NPI number?

The NPI number for Stephanie Smith is 1487160644. It was assigned to this individual provider in the NPPES registry on December 22, 2017.

Where is Stephanie Smith located?

Stephanie Smith practices at 5126 Martha Dr, West Bend, WI 53095. The listed phone number is (262) 501-1359.

What is Stephanie Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Smith was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.