KELLY SMITH
NPI 1972958890
Counselor - Mental Health in Juneau, WI

Q: What is Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1972958890. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Q: What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Smith was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 28, 2016

199 COUNTY ROAD DF, JUNEAU, WI 53039(920) 382-3079 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Smith NPPES

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

KELLY SMITH (NPI 1972958890) is an individual mental health provider in Juneau, Wisconsin and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1972958890

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY SMITH

Location Address199 COUNTY ROAD DFJuneau, WI 53039-9512

Mailing Address1005 Newton AveWaupun, WI 53963-1211 · (920) 382-3079

Phone(920) 382-3079

Sole ProprietorNo

Enumeration DateApril 28, 2016

✔ NPI 1972958890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

199 COUNTY ROAD DF, Juneau, WI 53039

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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.

SARAH ELIZABETH TEWS

Social Worker

199 COUNTY ROAD DF
JUNEAU, WI 53039

Dodge County (920) 386-3500

AMANDA M REDA-GOGLIO APNP

Nurse Practitioner (Psychiatric/Mental Health)

199 COUNTY ROAD DF
JUNEAU, WI 53039

Dodge County (920) 386-3492

THOMAS DENEEN RUSCH

Counselor (Addiction (Substance Use Disorder))

199 COUNTY ROAD DF
JUNEAU, WI 53039

Dodge County (920) 386-4094

JADE ELIZABETH VAN BUREN MSW, LCSW

Social Worker (Clinical)

199 COUNTY ROAD DF
JUNEAU, WI 53039

Dodge County (920) 386-3500

ROYLE G EENIGENBURG JR. MD

Psychiatry & Neurology (Psychiatry)

199 COUNTY ROAD DF, FL 3
JUNEAU, WI 53039

Dodge County (920) 386-4094

EMILY JORGENSEN

Social Worker (Clinical)

199 COUNTY ROAD DF
JUNEAU, WI 53039

Dodge County (920) 386-3807

ANN NAGLE BSW

Counselor (Mental Health)

199 COUNTY ROAD DF
JUNEAU, WI 53039

Dodge County (920) 386-3494

KATIE TOELLNER

Counselor (Mental Health)

199 COUNTY ROAD DF
JUNEAU, WI 53039

Dodge County (920) 386-3510

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 Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1972958890. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Kelly Smith located?

Kelly Smith practices at 199 County Road Df, Juneau, WI 53039. The listed phone number is (920) 382-3079.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Smith was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.