Individual provider Active NPI

Melody Canda Smith, ,MA, LAC, NCC

  • Mental Health Counselor
  • Metuchen, NJ
National Provider Identifier
1255038600
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00703700 Issued in NJ
Practice address
3 Calvin PL
Metuchen, NJ 08840-2450
Phone
(201) 273-8098
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 37AC00703700 NJ Primary

Addresses

Primary practice location

3 Calvin PL
Metuchen, NJ 08840-2450

Mailing address

3 Calvin PL
Metuchen, NJ 08840-2450
Phone (732) 654-2170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 11, 2025 through Nov 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC00703700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Path Counseling Center, LLC Mental Health Current Accepting new patients
Mindful Connections Counseling Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1255038600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALVIN PL",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402450",
            "telephone_number": "732-654-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALVIN PL",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402450",
            "telephone_number": "201-273-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELODY",
        "middle_name": "CANDA",
        "credential": ",MA, LAC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00703700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.