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Active NPI 1477298768 Individual Practitioner Male Practitioner

Michael F Smith , LPC, MS, MA, MBA

Counselor - Professional • Glendale, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michael Smith, LPC, MS, MA, MBA is a certified Counselor - Professional practicing in Glendale, WI. With approximately 5 years of clinical experience since completing medical education in 2021, Michael Smith delivers high-quality medical care to the local community at 5699 N CENTERPARK WAY APT 544.

Michael Smith is affiliated with Mind Body Program Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

5699 N Centerpark Way Apt 544

Glendale, WI 532174576

Telephone 4144150999

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Glendale, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -10.6 yrs vs City Avg
City Avg: 15.6 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
64 Specialists

Practicing in Glendale, WI (4511 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (5 Years) 5 Yrs
Glendale Specialty Average (15.6 Years) 15.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 11022-125

Definition to come...

Hospital & Practice Group Affiliations

Mind Body Program Llc

15300 Watertown Plank Rd, Elm Grove, WI 531222348

Phone: 4148078934

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 05, 2024

Registered at 5699 N CENTERPARK WAY APT 544, GLENDALE, WI 532174576 (Tel: 4144150999)

📍
Updated Business Mailing Address September 05, 2024

Registered at 5699 N CENTERPARK WAY APT 544, GLENDALE, WI 532174576 (Tel: 4147211911)

👤
Provider Name / Credentials Updated September 05, 2024

Recorded as MICHAEL SMITH, LPC, MS, MA, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2024

Counselor (License #11022-125 in WI)

NPI Profile Active May 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2022

Registered at 3042 N OAKLAND AVE, MILWAUKEE, WI 532113233 (Tel: 4147211911)

📍
Updated Business Mailing Address May 01, 2022

Registered at 3042 N OAKLAND AVE, MILWAUKEE, WI 532113233 (Tel: 4147211911)

👤
Provider Name / Credentials Updated May 01, 2022

Recorded as MICHAEL SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2022

Counselor (License #5217-226 in WI)

🟢
Initial NPI Registration & Enumeration May 01, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477298768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2022
Last Update: September 05, 2024
Sole Proprietor: Yes

Mailing Address

5699 N Centerpark Way Apt 544

Glendale, WI 532174576

Phone: 4147211911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.