Individual provider Active NPI

Michelle Ashley Smoke, LMHC

  • Mental Health Counselor
  • Massena, NY
National Provider Identifier
1093475741
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011904 Issued in NY
Practice address
16 Phillips St
Massena, NY 13662-2016
Phone
(315) 764-8076
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 011904 NY Primary

Addresses

Primary practice location

16 Phillips St
Massena, NY 13662-2016

Mailing address

PO Box 1547
Hogansburg, NY 13655-1547
Phone (518) 980-3488

Other practice location 1

404 State Route 37
Hogansburg, NY 13655-3109
Phone (518) 358-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240116002648 NY Practitioner - Mental Health Counselor 7810349883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Citizen Advocates, IncGroup PAC ID 0648241976, 50 clinicians

Practice addresses (Care Compare)

31 6TH St
Malone, NY 12953-1246
Phone (518) 483-1251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Advocates, Inc CurrentSince Jan 1, 2024 Accepting new patients
Citizen Advocates, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

31 6th St
Malone, NY 12953
Phone (518) 651-2254

15 Francis St
Malone, NY 12953
Phone (518) 483-7801

16 Phillips St
Massena, NY 13662
Phone (315) 764-8076

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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1093475741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "HOGANSBURG",
            "state": "NY",
            "postal_code": "136551547",
            "telephone_number": "518-980-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PHILLIPS ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622016",
            "telephone_number": "315-764-8076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 State Route 37",
            "address_purpose": "LOCATION",
            "city": "Hogansburg",
            "state": "NY",
            "postal_code": "136553109",
            "country_code": "US",
            "telephone_number": "518-358-3141",
            "fax_number": "518-358-9175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOKE",
        "first_name": "MICHELLE",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.