Michael F Smith, LPC, MS, MA, MBA
Michael F Smith, LPC, MS, MA, MBA is a Mental Health Counselor in Glendale, Wisconsin. Qualified in 2021, 5 years ago. Practices with Mind Body Program LLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.
- Years since qualifying
- 5
- Licensed in
- WI
- In the registry since
- 2022
What do these letters mean?
Practice location Address checks out
5699 N Centerpark Way Apt 544Glendale, WI 53217-4576
Phone: (414) 415-0999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 11022-125 (WI) |
|---|
Record details
| NPI number | 1477298768 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC , MS , MA , MBA |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2022 |
| Last updated in NPPES | September 5, 2024 |
| Certification date | September 5, 2024 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Mind Body Program Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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