DESILYNN G SMITH (NPI# 1629329404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629329404 |
| Entity Type | Individual |
| Full Name | DESILYNN G SMITH |
| Credential | MS, SAC-IT, LPC-IT |
| Practice Address |
2319 W Capitol Dr Milwaukee WI 53206-1919 |
| Mailing Address |
6400 Industrial Loop Greendale WI 53129-2452 |
| Practice Telephone | 4144422033 |
| Practice Fax Number | 4144422167 |
| Mailing Telephone | 4144234100 |
| Mailing Fax Number | 4144234134 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2319 W CAPITOL DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53206-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427194877 | James Eddie Moore | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2007-01-30 |
| 1013575125 | Jeffrey A Terrell | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2019-06-04 |
| 1083123905 | Frederica King | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2017-09-22 |
| 1316482334 | Dominique Horton | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2016-12-29 |
| 1972910362 | Larry Stelloh | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2014-07-17 |
| 1174956635 | Maria A Moore | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2013-08-19 |
| 1952679458 | Gateway To Change | Clinic/Center | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-12-12 |
| 1538440268 | Carlos B Robinson | Counselor | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-09-08 |
| 1306126214 | Gateway To Change | Community/Behavioral Health | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2011-08-23 |
| 1023281987 | Gateway To Change | Community/Behavioral Health | 2319 W Capitol Dr, Milwaukee, WI 53206-1919 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1114548542 | Mtc Business Consulting & Management | Case Management | 2640 W Fondulac Ave, Milwaukee, WI 53206 | 2020-04-27 |
| 1558837096 | Allen Matthew Alston | Counselor | 2821 N. 4th St M&s Clinical Svc., Suite 210, Milwaukee, WI 53206 | 2018-10-23 |
| 1891282752 | Valerie Oliver | Midwife | 211 W Capital Dr, Milwaukee, WI 53206 | 2018-04-17 |
| 1629586540 | Major Quality Care, LLC | Assisted Living Facility | 3431 N 13th Street, Milwaukee, WI 53206 | 2018-01-12 |
| 1851812879 | Tony Gardner | Counselor | 3948 N. 18th Street, Milwaukee, WI 53206 | 2017-06-29 |
| 1699103010 | Sweet Butterfly Transportation Service LLC | Non-emergency Medical Transport (VAN) | 3331 North 20 Street, Milwaukee, WI 53206 | 2013-10-22 |
| 1043472558 | Josephine Adams | Registered Nurse | 3541 North 20th Street, Milwaukee, WI 53206 | 2008-06-26 |
| 1023280567 | Roundys Supermarkets Inc | Pharmacy | 9200 N Greenbay Road, Brown Deer, WI 53206 | 2008-03-25 |
| 1285797522 | Gerard D Fontaine | Dentist | 2406 W Capitol Dr, Milwaukee, WI 53206 | 2006-12-18 |
| Find all providers in zip 53206 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1932733193 | 1 Step Away Divine Counseling Service LLC | Counselor | 6815 W Capitol Dr Ste 308, Milwaukee, WI 53216-2056 | 2020-02-26 |
| 1689216293 | Carollyn Black | Counselor | 4892 N 19th St, Milwaukee, WI 53209-5757 | 2019-10-15 |
| 1861046146 | Lisa Marie Ortiz | Counselor | 3336 S 76th St, Milwaukee, WI 53219-3805 | 2019-07-25 |
| 1891359576 | Kenneth Ginlack Sr Consulting Services LLC | Counselor | 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 | 2019-04-27 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1992280218 | Tanya Lynn Peters | Counselor | 9224 W Burleigh St, Milwaukee, WI 53222-3503 | 2018-10-02 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| Find all providers in MILWAUKEE | ||||
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| 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.