Active NPI
Erin Denita Smith, LMHC
- Mental Health Counselor
- Kathleen, GA
National Provider Identifier
1124533112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17293
- Practice address
- 41 Cohen Walker Dr Apt 2204
Kathleen, GA 31047-2772 - Phone
- (334) 233-0198
- NPI assigned
- Dec 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17293 | FL | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
41 Cohen Walker Dr Apt 2204
Kathleen, GA 31047-2772
Mailing address
41 Cohen Walker Dr Apt 2204
Kathleen, GA 31047-2772
Phone (334) 233-0198
Other names 1
- Erin Smith Griggs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622
Organizations & group practices 1
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": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1124533112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 COHEN WALKER DR APT 2204",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472772",
"telephone_number": "334-233-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 COHEN WALKER DR APT 2204",
"city": "KATHLEEN",
"state": "GA",
"postal_code": "310472772",
"telephone_number": "334-233-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ERIN",
"middle_name": "DENITA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17293",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "GRIGGS",
"middle_name": "SMITH",
"credential": "RMHCI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kathleen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.