CHRIS SMITH


Address: 121 W Main St, Port Washington, WI 53074-0994
Phone: 2622848200

CHRIS SMITH (NPI# 1407022692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407022692
Entity Type Individual
Full Name CHRIS SMITH
Credential MDIV LMFT
Practice Address 121 W Main St
Port Washington
WI 53074-0994
Practice Telephone 2622848200
Practice Fax Number 2622848104
Mailing Telephone 2622848200
Mailing Fax Number 2622848104
Enumeration Date 2008-05-07
Last Update Date 2008-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 68124 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 40981600 05

Other Providers CHRIS SMITH

NPI Name Taxonomy Address Enumeration
1154714053 Chris Smith Hearing Instrument Specialist 5660 Six Forks Rd, Suite 101, Raleigh, NC 27609-8615 2015-03-17
1225426455 Chris Smith Adult Companion 10014 Fernstone Ln, Houston, TX 77070-5015 2014-12-22
1760881171 Chris Smith Pharmacist 316 Prettyman Dr, #6107, Rockville, MD 20850-4715 2014-08-21
1891145389 Chris Smith Behavioral Analyst 3-3122 Kuhio Hwy, A15, Lihue, HI 96766-1147 2016-06-15
1124480330 Chris Smith Pediatrics 215 W Bowery St Ste 7300, Akron, OH 44308 2016-03-26
1003248154 Chris William Smith Chiropractor 2655 W Carefree Hwy, Phoenix, AZ 85085-8862 2013-07-31
1487992764 Chris Smith Pharmacist 1090 Spirit Lake Rd, Winter Haven, FL 33880-1226 2013-01-22
1366792004 Chris Smith Case Manager/Care Coordinator 2707 Browns Ln, Jonesboro, AR 72401-7213 2012-09-10
1598014524 Chris M Smith I Dentist 35 Woodland Ave, Morton, PA 19070-1512 2012-09-06
1821249152 Chris Smith Case Manager/Care Coordinator 1311 Fort Street, Barling, AR 72923 2008-10-06

Office Location

Street Address 121 W MAIN ST
City PORT WASHINGTON
State WI
Zip Code 53074-0994

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154832566 Christina M Johnson Counselor 121 W Main St, Port Washington, WI 53074-1813 2017-10-12
1093247561 Heather Lynn Carlson Counselor 121 W Main St, Port Washington, WI 53074-1813 2017-04-03
1184089187 Jennifer Lynn Fazio Social Worker 121 W Main St, Port Washington, WI 53074-1813 2015-12-18
1457744492 Cindy Schottlaender Social Worker 121 W Main St, Port Washington, WI 53074-1813 2015-03-16
1063802403 Leah M Bruce Counselor 121 W Main St, Port Washington, WI 53074-1813 2015-01-23
1306240742 Kelly Grady Social Worker 121 W Main St, Port Washington, WI 53074-1813 2014-10-14
1740684273 Laurelle A Rathke Social Worker 121 W Main St, Port Washington, WI 53074-1813 2014-10-13
1023412699 Renee M Keranen Social Worker 121 W Main St, Port Washington, WI 53074-1813 2014-10-10
1578967147 Nicole Prohuska Social Worker 121 W Main St, Port Washington, WI 53074-1813 2014-10-10
1710381397 Richard A Schloegel Social Worker 121 W Main St, Port Washington, WI 53074-1813 2014-10-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962045864 Heather Kay Brede Technician 857 Ashley Avenue, Port Washington, WI 53074 2019-10-23
1780062034 Amanda Zitzer Specialist/Technologist 1037 S Spring Street, Apt 257, Port Washington, WI 53074 2015-05-07
1639507643 Kelly Mulder Occupational Therapy Assistant 138 E Prospect St, Port Washington, WI 53074 2013-10-30
1235310921 Susan Ann Dobberpuhl Occupational Therapist 306 N Sprint St, Port Washington, WI 53074 2007-11-21
1245444736 Lee B Raffel Social Worker 3632 E Norport Drive, Port Washington, WI 53074 2007-05-10
1023143708 Joshua E Leute Dentist 1317 West Grand Avenue, Port Washington, WI 53074 2007-02-22
1578633806 Robert Andrew Kortsch Dentist 457 W Grand Ave, Port Washington, WI 53074 2006-11-08
1538256409 Daniel P Witkowski Dentist 1612 N Wisconsin St, Port Washington, WI 53074 2006-10-10
1477584878 Francine L Cosner Obstetrics & Gynecology 1777 W Grand Avenue, Port Washington, WI 53074 2006-07-05
1013953926 Port Washington Podiatry Inc Podiatrist 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 2006-06-20
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871105619 Matthew Michael Richard Kobriger Marriage & Family Therapist 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 2020-08-22
1700494473 Kelsey Card Marriage & Family Therapist 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 2020-07-20
1376161489 Brenda R Lovick Marriage & Family Therapist 454 E Church Rd, Cambridge, WI 53523-9632 2020-07-06
1922624139 Madeline Shay Marriage & Family Therapist 629 River St Ste C, Belleville, WI 53508-9189 2020-06-23
1437773736 Andrew Clayton Marriage & Family Therapist 440 Science Dr Ste 300, Madison, WI 53711-1064 2020-06-02
1518580638 Caitlin Stark Marriage & Family Therapist 518 Algoma St, Madison, WI 53704-4813 2020-05-22
1366065757 Coltan James Schoenike Marriage & Family Therapist 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 2020-05-20
1154957314 William Jay Blevins Marriage & Family Therapist 2564 Branch St Ste B5, Middleton, WI 53562-2850 2020-03-19
1578196168 Psychotherapy Center of Waunakee LLC Marriage & Family Therapist 110 Baker St Ste C, Waunakee, WI 53597-2707 2020-02-21
1194355230 Michelle Nicole King Marriage & Family Therapist 757 Martin Ave, Hudson, WI 54016-7762 2020-01-16
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Competitor

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City PORT WASHINGTON
Zip Code 53074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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