Active NPI
Skylar Wyatt Smith, LPC
- Professional Counselor
- Harrisburg, PA
National Provider Identifier
1275767170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007713
- Practice address
- 1323 N Front St
Harrisburg, PA 17102-2629 - Phone
- (717) 917-8693
- Fax
- (717) 589-9901
- NPI assigned
- May 6, 2009
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007713 | PA | Primary |
Addresses
Primary practice location
1323 N Front St
Harrisburg, PA 17102-2629
Mailing address
4212 Ridge Dr
Harrisburg, PA 17109-4337
Phone (717) 917-8693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007713 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welcoming Connections, LLC | Current | Accepting new patients |
Locations
1323 N Front St
Harrisburg, PA 17102
Phone (717) 917-8693
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Harrisburg, PA
- NPI 1235957192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1275767170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 RIDGE DR",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094337",
"telephone_number": "717-917-8693",
"fax_number": "717-589-9901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 N FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171022629",
"telephone_number": "717-917-8693",
"fax_number": "717-589-9901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SKYLAR",
"middle_name": "WYATT",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2009-05-06",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.