Stacy G. Smith, MS, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00562000 Issued in NJ

Practice address

24 Godwin Ave Ste 210
Midland Park, NJ 07432-1927

Phone

(516) 232-7775

NPI assigned

Jun 21, 2015

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1434844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522540800000",
    "number": "1245612779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE STE 210",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321927",
            "telephone_number": "516-232-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 GODWIN AVE STE 210",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321927",
            "telephone_number": "516-232-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "middle_name": "G.",
        "credential": "MS, LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-21",
        "last_updated": "2018-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006573",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00562000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayme Lynn Sileo, LSW
• Kayla Rose Simpson, RD, ATC
• Narmatha Sinnarajah, DDS
• John Skelly, P.T.
• Elizabeth Smith, LCSW
• Social Butterfly Counseling
• Leah Ann Spinelli, R.P.
• Sprouts Occupational Therapy LLC
• Janine M Standish, MA EDS LPC
• Linda Stanton

• Mental Health Counselor in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2018; 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.