Sheena Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC01019000 Issued in NJ

Practice address

78 1/2 9TH Ave
Newark, NJ 07107-1518

Phone

(917) 640-9075

NPI assigned

Jun 28, 2022

Reactivated

Apr 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Working Towards a Brighter Future

  • Community/Behavioral Health Agency
  • Newark, NJ
  • NPI 1285400838
  NPD Authorized official
• Working Towards a Brighter Future

  • Professional Counselor
  • Newark, NJ
  • NPI 1306641741
  NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1154053288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SANFORD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063316",
            "telephone_number": "917-640-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 1/2 9TH AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071518",
            "telephone_number": "917-640-9075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Sanford Pl",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071063316",
            "country_code": "US",
            "telephone_number": "917-640-9075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHEENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-04-24",
        "certification_date": "2024-03-21",
        "deactivation_date": "2024-03-21",
        "reactivation_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00690300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01019000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300838743",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Smith, NP
• Jakia Smith
• Krystle S. Smith
• Nina Simone Smith
• Scott Harrison Smith, D.D.S.
• Stacy Douglas Smith, A.T.,C
• Alyssa Katherine Smolen, MS RDN CDN
• Siani Snaith, PA-C
• Richard B Snellings, MD
• Olga Snigura

• Professional Counselor in Newark, NJ
• Providers in Newark, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.

Verify at the official NPI Registry.