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KIM MARIE SMITH LPC
NPI 1972970572
Counselor - Professional in Green Bay, WI

Active since August 31, 2015Opted out of Medicare · through Jan 7, 2028
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 433-6073(920) 431-0333 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Marie Smith Lpc NPPES

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

KIM MARIE SMITH LPC (NPI 1972970572) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (5778-125) and active in the NPI registry since August 2015. She has opted out of Medicare through January 7, 2028.

NPPES Registry Identity

NPI1972970572
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIM MARIE SMITHCredential: LPC
Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 433-6073
Fax(920) 431-0333
Sole ProprietorNo
Enumeration DateAugust 31, 2015
Last NPPES UpdateOctober 14, 2019
✔ NPI 1972970572 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 · 5778-125
301 E SAINT JOSEPH ST, Green Bay, WI 54301
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kim Marie Smith Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2024 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2024
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. EMILY R RADEMACHER D.O., M.B.A.
Psychiatry & Neurology (Psychiatry)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-3630
PATSY L WHITE MSW
Counselor
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-3630
JONI CONSTANCE DELWICHE LCSW
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
GABRIELLE MARIE RODRIGUEZ PSY.D
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
AMANDA ROSE GILLESPIE APNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 431-5533
BRIAN J CAGLE PSYD
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
ELIZABETH DIONNE DANTOIN LPC
Counselor (Professional)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-6073
CARRIE B ISON LCSW,SAC
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Brown County (920) 433-3630

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 Kim Smith's NPI number?

The NPI number for Kim Smith is 1972970572. It was assigned to this individual provider in the NPPES registry on August 31, 2015.

Where is Kim Smith located?

Kim Smith practices at 301 E Saint Joseph St, Green Bay, WI 54301. The listed phone number is (920) 433-6073.

What is Kim Smith's specialty?

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

Is Kim Smith enrolled in Medicare?

No. Kim Smith has opted out of Medicare through January 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kim Smith accept?

Health plans from CareSource (Common Ground Healthcare), Medica and UnitedHealthcare list Kim 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 Kim Smith was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.