Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chris Smith, MDIVLMFT

Individual provider Marriage & Family Therapist · NPI 1407022692

Chris Smith, MDIVLMFT is a Marriage & Family Therapist in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008

Practice location Address checks out

121 W Main St
Port Washington, WI 53074-0994 Not confirmed with CMS for 18 years — call before visiting
Phone: (262) 284-8200
Fax: (262) 284-8104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 68124 (WI)

Record details

NPI number1407022692
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIVLMFT
Sole proprietorNo
NPI enumeratedMay 7, 2008
Last updated in NPPESMay 7, 2008

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