Individual provider Active NPI

Martha Smith, LMHC

  • Mental Health Counselor
  • Venice, FL
National Provider Identifier
1083390389
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8853 Issued in FL
Practice address
1505 Tamiami TRL S Ste 401a
Venice, FL 34285-5562
Phone
(941) 525-7733
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 MH8853 FL Primary

Addresses

Primary practice location

1505 Tamiami TRL S Ste 401a
Venice, FL 34285-5562

Mailing address

204 Palermo PL
Venice, FL 34285-2840
Phone (941) 504-9588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240205002720 FL Practitioner - Mental Health Counselor 3577906783 Practice locations: Venice, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1505 Tamiami TRL S
Suite 401a
Venice, FL 34285-5562
Phone (941) 504-9588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8853FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly J Miller PSYD Inc CurrentSince Jun 25, 2023 Accepting new patients
The Guidance Center Mental Health PastSince Jun 25, 2023 Accepting new patients

Locations

1505 Tamiami Trl S
Ste 401A
Venice, FL 34285
Phone (941) 483-4393

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1083390389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PALERMO PL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852840",
            "telephone_number": "941-504-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 TAMIAMI TRL S STE 401A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342855562",
            "telephone_number": "941-525-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARTHA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.