Individual provider Active NPI

Christopher L Smith, LCAC, LMHC, LMFT

  • Pastoral Counselor
  • New York, NY
National Provider Identifier
1023226925
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
86000127AINMDAddiction (Substance Use Disorder) Counselor
87000653AINMDAddiction (Substance Use Disorder) Counselor
39000509AINMDMental Health Counselor
002224NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seeking Shalom Mental Health Counseling, P.C. Mental Health CurrentSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.