Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Michael Smith, LPC-IT

Individual provider Mental Health Counselor · NPI 1548892821

Edward Michael Smith, LPC-IT is a Mental Health Counselor in Dousman, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

W350S1401 Waterville Rd
Dousman, WI 53118-9020
Phone: (920) 253-1862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 265001 (WI)

Record details

NPI number1548892821
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020
Mailing addressW350s1401 Waterville Rd, Dousman, WI 53118-9020