Katelyn Smith, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00898900 Issued in NJ

Practice address

191 Woodport Rd Ste 209
Sparta, NJ 07871-2645

Phone

(973) 512-3700

NPI assigned

Jan 13, 2023

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

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.

• Reflective Counseling Services

  • Mental Health Counselor
  • Sparta, NJ
  • NPI 1558237123
  NPD Authorized official

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1184339111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PARK RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WOODPORT RD STE 209",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712645",
            "telephone_number": "973-512-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KATELYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00898900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylands Urology Group PA
• Mailing Slominski
• Elisheva Slomiuc
• Jeanne Smetana, M.S.W., L..C.S.W.
• Anissa Leeann Smith, FNP-BC
• Sos Wellness and Organics, LLC
• Melissa Maria Sotillo, MD
• SP Eyecare of Sparta
• Sparta Ambulance Service Inc
• Sparta Anesthesia Associates, LLC

• All providers in Sparta, NJ
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.