Individual provider Active NPI

Janice Cramer Smith, LMHC

  • Mental Health Counselor
  • Cocoa, FL
National Provider Identifier
1154338994
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH0001615 Issued in FL
Practice address
317 Riveredge Blvd
Suite 104
Cocoa, FL 32922-7988
Phone
(321) 636-8694
Fax
(321) 639-7048
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH0001615 FL Primary
Counselor 101Y00000X MH0001615 FL

Addresses

Primary practice location

317 Riveredge Blvd
Suite 104
Cocoa, FL 32922-7988

Mailing address

317 Riveredge Blvd
Suite 104
Cocoa, FL 32922-7988
Phone (321) 636-8694

Other identifiers 1

IdentifierTypeStateIssuer
592998370OtherFLFED. TAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH0001615FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1154338994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 RIVEREDGE BLVD",
            "address_2": "SUITE 104",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227988",
            "telephone_number": "321-636-8694",
            "fax_number": "321-639-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 RIVEREDGE BLVD",
            "address_2": "SUITE 104",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227988",
            "telephone_number": "321-636-8694",
            "fax_number": "321-639-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JANICE",
        "middle_name": "CRAMER",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0001615",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH0001615",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED. TAX ID #",
            "identifier": "592998370",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.