Individual provider Active NPI

Nicole Orlando Smith, LMHC

  • Mental Health Counselor
  • Saugus, MA
National Provider Identifier
1205171048
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12794 Issued in MA
Practice address
184 Broadway Ste 302
Saugus, MA 01906-1099
Phone
(781) 233-1095
NPI assigned
Dec 5, 2012
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 12794 MA Primary
Mental Health Counselor 101YM0800X NU

Addresses

Primary practice location

184 Broadway Ste 302
Saugus, MA 01906-1099

Mailing address

184 Broadway Ste 17&18
Saugus, MA 01906-1099
Phone (781) 233-1095

Other practice location 1

391 Varnum Ave
Lower Level
Lowell, MA 01854-2119
Phone (978) 322-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624002982 MA Practitioner - Mental Health Counselor 2668915208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12794MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Aug 6, 2024 Accepting new patients
Spectrum Health Systems, Inc Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1205171048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BROADWAY STE 17&18",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061099",
            "telephone_number": "781-233-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BROADWAY STE 302",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061099",
            "telephone_number": "781-233-1095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Varnum Ave",
            "address_2": "Lower Level",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018542119",
            "country_code": "US",
            "telephone_number": "978-322-5095",
            "fax_number": "978-322-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORLANDO SMITH",
        "first_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12794",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

Verify at the official NPI Registry.