Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811917354 Individual Practitioner Female Practitioner

Janice Marie De Smidt , MA CCC-SLP

Speech-Language Pathologist • West Bend, WI

Professional Overview & Biography Verified Profile Summary

Janice De Smidt, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in West Bend, WI. Practice services are available at 5595 COUNTY ROAD Z under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5595 County Road Z

West Bend, WI 530959224

Telephone 2623062100
Fax 2623062151
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in West Bend, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
41 Specialists

Practicing in West Bend, WI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 1074-154

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42760100 (WI)
Commercial Insurance / Payer ID Asha Membership
01112123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Aimee Hodorowski , OTR

Occupational Therapist

NPI 1003163239

Occupational Therapist Registered

Dawn Bednarek , PTA

Physical Therapy Assistant

NPI 1013095710

Physical Therapist Assistant

Daniel Steuer , PTA

Physical Therapy Assistant

NPI 1033684402

Physical Therapist Assistant

Lisa Lipski

Occupational Therapist

NPI 1043432438
Betty Mayer , PT

Physical Therapist

NPI 1073684411

Physical Therapist

Lynda Tomaz , OTR

Occupational Therapist

NPI 1104109693

Occupational Therapist Registered

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5595 COUNTY ROAD Z, WEST BEND, WI 530959224 (Tel: 2623062100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 272 E MERRILL AVE, FOND DU LAC, WI 549353616 (Tel: 9209260144)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JANICE DE SMIDT, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #1074-154 in WI)

🟢
Initial NPI Registration & Enumeration July 20, 2006

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: 1811917354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

272 E Merrill Ave

Fond Du Lac, WI 549353616

Phone: 9209260144

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.