Individual provider Active NPI

Yolanda Elaine Smith, PH.D.

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1255409033
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW4510 Issued in FL
Practice address
4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853
Phone
(954) 873-9707
Fax
(561) 423-0616
NPI assigned
Dec 1, 2006
Last updated
May 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2024

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 SW4510 FL Primary

Addresses

Primary practice location

4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853

Mailing address

4000 Hollywood Blvd Ste 555S
Hollywood, FL 33021-6853
Phone (954) 873-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150930002433 FL Practitioner - Clinical Social Worker 9335457993 Reassigns benefits to 1 organization
Practice locations: Hollywood, FL
I20250904001812 NY Practitioner - Clinical Social Worker 9335457993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 25, 2025 Accepting new patients
Smith &Associates Mental Health Clinical CurrentSince Jan 21, 2015 Accepting new patients

Locations

4000 Hollywood Blvd
Ste 555S
Hollywood, FL 33021
Phone (754) 273-0885

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1255409033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 555S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216853",
            "telephone_number": "954-873-9707",
            "fax_number": "561-423-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 555S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216853",
            "telephone_number": "954-873-9707",
            "fax_number": "561-423-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "YOLANDA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2024-05-11",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW4510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.