Glory Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004924 Issued in CT

Practice address

468 Birdseye St
Stratford, CT 06615-6976

Phone

(203) 385-4095

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: glory.smith.1@28623.direct.athenahealth.com

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.

• Wellness Center of Oxford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelton, CT
  • NPI 1275008195
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1154917037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 NEW ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702741",
            "telephone_number": "805-766-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 BIRDSEYE ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156976",
            "telephone_number": "203-385-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GLORY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "004924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Smajla, RN, MSN, PMHNP-BC
• Barbara Smiech, APRN
• Christina Mary Smillie, MD
• Dolores Ann Smith-Ezyk, LCSW
• Ariel Cherie Smith, CDN
• Lavonne Smith, LMSW
• Vernay Snow
• Gregory N. Soloway, M.D.
• Brandon Soney, FNP
• Ju-Young Song

• Professional Counselor in Stratford, CT
• Providers in Stratford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.