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DAVID SMITH LPC
NPI 1720538499
Counselor - Professional in Kenosha, WI

Active since October 06, 2016PECOS Enrolled
10900 67TH STREET, KENOSHA, WI 53142(262) 914-7422 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Smith Lpc NPPES

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

DAVID SMITH LPC (NPI 1720538499) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (6231-125) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720538499
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDAVID SMITHCredential: LPC
Location Address10900 67TH STREETKenosha, WI 53142
Mailing Address5439 Durand Ave, Suite 240bMount Pleasant, WI 53406-5058 · (262) 914-7422 · Fax (262) 671-0016
Phone(262) 914-7422
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 6, 2016
✔ NPI 1720538499 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 · 6231-125
10900 67TH STREET, Kenosha, WI 53142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan 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 (PECOS)

David Smith Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345785572
PECOS Enrollment IDI20240712000555
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.

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 David Smith's NPI number?

The NPI number for David Smith is 1720538499. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is David Smith located?

David Smith practices at 10900 67th Street, Kenosha, WI 53142. The listed phone number is (262) 914-7422.

What is David Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is David Smith enrolled in Medicare?

Yes. David Smith is registered in the Medicare PECOS enrollment system.

What insurance does David Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan and UnitedHealthcare list David 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 David Smith was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.