IndividualActive
Gerald Smith, LPC
NPI 1043008048 · Mental Health Counselor · Broadview, IL
Provider details
- NPI number
- 1043008048
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 178021314 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1522 Bataan Dr Apt 2w
Broadview, IL 60155-3194
Phone: (773) 807-5783
Approximate (ZIP-level) locationGet directions
Mailing address
1522 Bataan Dr Apt 2w
Broadview, IL 60155-3194
Registry dates
- Enumerated
- 2025-04-29
- Last updated
- 2025-04-29
- Certified
- 2025-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.