Individual provider Active NPI

Amy Elizabeth Smith, LMHC

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1205581089
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20362 Issued in FL
Practice address
1130 SE 18TH PL
Ocala, FL 34471-5422
Phone
(352) 390-6656
Fax
(352) 390-8756
NPI assigned
Feb 19, 2022
Last updated
Feb 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH20362 FL Primary

Addresses

Primary practice location

1130 SE 18TH PL
Ocala, FL 34471-5422

Mailing address

1130 SE 18TH PL
Ocala, FL 34471-5422
Phone (352) 390-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241015002468 FL Practitioner - Mental Health Counselor 8527590587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Psych Services LLCGroup PAC ID 8820406093, 10 clinicians

Practice addresses (Care Compare)

11750 SW 40 St
Miami, FL 33175-3530
Phone (706) 823-5250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Psych Services LLC Mental Health CurrentSince Sep 8, 2024 Accepting new patients
Urban Counseling, LLC Mental Health Past Accepting new patients

Locations

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1265 Interstate Pkwy
#B
Augusta, GA 30909
Phone (706) 204-1366

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1205581089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SE 18TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715422",
            "telephone_number": "352-390-6656",
            "fax_number": "352-390-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SE 18TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715422",
            "telephone_number": "352-390-6656",
            "fax_number": "352-390-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.