Michael F. Smith, LPC, MS, MA, MBA
NPI 1477298768ActiveIndividual· Counselor, Professional· Glendale, WI
Counselor, Professional (LPC, MS, MA, MBA) with Mind Body Program LLC, practicing in Glendale, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1477298768 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC, MS, MA, MBA |
| Sole proprietor | Yes |
| NPI issued | May 1, 2022 |
| Last updated in NPPES | Sep 5, 2024 |
| Certified by provider | Sep 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 11022-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Mind Body Program LLCElm Grove, WI · 5 clinicians
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