Active NPI
Christopher L Smith, LCAC, LMHC, LMFT
- Pastoral Counselor
- New York, NY
National Provider Identifier
1023226925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 124 E 40TH St
Suite 404
New York, NY 10016-1723 - Phone
- (212) 655-9605
- Fax
- (646) 513-2860
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87000653A | IN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 86000127A | IN | |
| Mental Health Counselor | 101YM0800X | 002224 | NY | |
| Mental Health Counselor | 101YM0800X | 39000509A | IN | |
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Marriage & Family Therapist | 106H00000X | 000899 | NY | |
| Clinical Ethicist | 174V00000X | |||
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
124 E 40TH St
Suite 404
New York, NY 10016-1723
Mailing address
PO Box 685
Harrison, NY 10528-0685
Phone (646) 513-2866
Other practice location 1
2345 University Ave
Bronx, NY 10468-6102
Phone (212) 655-9605
Other practice location 2
258 Halstead Ave Unit 685
Harrison, NY 10528-7547
Phone (646) 513-2866
Other practice location 3
964 E 228th St
Bronx, NY 10466-4612
Phone (212) 655-9605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86000127A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 87000653A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 39000509A | IN | MD | Mental Health Counselor |
| 002224 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seeking Shalom Mental Health Counseling, P.C. | Mental Health | Current | Accepting new patients |
| Seeking Shalom Marriage and Family Therapy, P.C. | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- New York, NY
- NPI 1033493705
Addiction (Substance Use Disorder)
-
- Mental Health Counselor
- New York, NY
- NPI 1043508567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023226925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 685",
"city": "HARRISON",
"state": "NY",
"postal_code": "105280685",
"telephone_number": "646-513-2866",
"fax_number": "646-513-2860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E 40TH ST",
"address_2": "SUITE 404",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161723",
"telephone_number": "212-655-9605",
"fax_number": "646-513-2860"
}
],
"practiceLocations": [
{
"address_1": "2345 University Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104686102",
"country_code": "US",
"telephone_number": "212-655-9605",
"fax_number": "646-513-2859",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "258 Halstead Ave Unit 685",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "NY",
"postal_code": "105287547",
"country_code": "US",
"telephone_number": "646-513-2866",
"fax_number": "646-513-2860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "964 E 228th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104664612",
"country_code": "US",
"telephone_number": "212-655-9605",
"fax_number": "646-513-2860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"middle_name": "L",
"credential": "LCAC, LMHC, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87000653A",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "86000127A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "002224",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000509A",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000899",
"primary": false
},
{
"code": "174V00000X",
"taxonomy_group": "",
"desc": "Clinical Ethicist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.