Amber Daveline Smith, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH9223 Issued in FL

Practice address

3121 Innovation Dr Ste a
Saint Cloud, FL 34769-6501

Phone

(407) 922-4390

Fax

(407) 429-3977

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, ME, UT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• FL HMO C-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• AL HMO
• FL HMO
• FL HMO D-SNP
• AL HMO D-SNP
• UT PPO D-SNP
• FL PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional

  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  FL, ME, Professional, UT

  Medicare reassignment NPD
• Saint Cloud Family Counseling Center

  • Community/Behavioral Health Agency
  • Saint Cloud, FL
  • NPI 1801228267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013106749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 INNOVATION DR STE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-922-4390",
            "fax_number": "407-429-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 INNOVATION DR STE A",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696501",
            "telephone_number": "407-922-4390",
            "fax_number": "407-429-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Gerneration Point",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "34744",
            "country_code": "US",
            "telephone_number": "407-518-6936 x223",
            "fax_number": "407-518-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBER",
        "middle_name": "DAVELINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH9223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talita Norberto Sizemore, DMD
• Skyward ABA, LLC
• Aaliyah Sloan
• Smart Scholars LLC
• Deborah Smart, M.A., LMHC
• Caitlin Smith
• Ekiba Smith, MS
• Howard Smith, PHARMD
• Jessica Smith, OTR/L
• Nathan Luke Smith, DC

• Professional Counselor in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.