Individual provider Active NPI

Naomi Smith, LMHC

  • Mental Health Counselor
  • Penfield, NY
National Provider Identifier
1073062261
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006545-1 Issued in NY
Practice address
401 Penbrooke Dr Ste 3NE
Penfield, NY 14526-2043
Phone
(585) 204-0806
Fax
(844) 240-9409
NPI assigned
Sep 28, 2016
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006545-1 NY Primary

Addresses

Primary practice location

401 Penbrooke Dr Ste 3NE
Penfield, NY 14526-2043

Mailing address

401 Penbrooke Dr Ste E
Penfield, NY 14526-2041
Phone (585) 484-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006545NYMDClinical Psychologist
006545-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Naomi Smith Mental Health Counselor PLLC Mental Health CurrentSince May 12, 2024 Accepting new patients
Kelly Newby, Psy.D., PLLC PastSince Sep 1, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1073062261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PENBROOKE DR STE E",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262041",
            "telephone_number": "585-484-7172",
            "fax_number": "866-898-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PENBROOKE DR STE 3NE",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262043",
            "telephone_number": "585-204-0806",
            "fax_number": "844-240-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NAOMI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006545-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.