Shawn B. Smith, L.C.P.C., L.C.A.D.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2546 Issued in MD

Practice address

1401 Reisterstown Rd
Suite L-2
Baltimore, MD 21208-6502

Phone

(410) 653-6300

Fax

(410) 653-6300

NPI assigned

Apr 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• 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

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.

• Arthur Flax'S Comprehensive Psychosocial Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1164425609
  NPD (past)

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1174766836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 REISTERSTOWN RD",
            "address_2": "SUITE L-2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086502",
            "telephone_number": "410-653-6300",
            "fax_number": "410-653-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 REISTERSTOWN RD",
            "address_2": "SUITE L-2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086502",
            "telephone_number": "410-653-6300",
            "fax_number": "410-653-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAWN",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "L.C.P.C., L.C.A.D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA462",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah M Smith
• Shadeya Smith
• Shalonda Smith
• Sharon Smith, CRNP
• Shaunice Smith
• Shayla Smith
• Simone Smith
• Stacey Smith
• Stephen R Smith, MD
• Susan Johns Smith, LCSW-C, MSW

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.