TYLER CHARLES SMITH LPC CSAC NPI 1316795503

NPI Information

  • NPI: 1316795503
  • Provider Name: TYLER CHARLES SMITH, LPC, CSAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 7957 W WIND LAKE RD STE E
    WATERFORD, WI
    ZIP 53185
  • Phone: (608) 561-8656

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NPI Details

Tyler Charles Smith, LPC, CSAC is a mental health counselor in Waterford, WI. Tyler Charles Smith, LPC, CSAC NPI is 1316795503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7957 W WIND LAKE RD STE E
WATERFORD, WI
ZIP 53185-234
Phone: (608) 561-8656

The enumeration date for this NPI number is 5/11/2024 and was last updated on 5/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)17132132WISCONSINNo
2101YM0800XCounselorMental Health10088125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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