Melanie Smith, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005775 Issued in NY

Practice address

163 S 1St St
Fulton, NY 13069-1721

Phone

(315) 592-4453

Fax

(315) 598-7158

NPI assigned

Sep 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cac Foundation, Inc.

  • Community/Behavioral Health Agency
  • Fulton, NY
  • NPI 1235548850
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1275934648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691721",
            "telephone_number": "315-592-4453",
            "fax_number": "315-598-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 S 1ST ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691721",
            "telephone_number": "315-592-4453",
            "fax_number": "315-598-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELANIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Sharkey, RPH
• Nikhal Sharma, DDS
• Samantha Sheggrud, P.A.
• James Shore, L.MT
• Faith Slade, FNP-C
• Olivia Sokolic, LMSW
• Lisa J. Sousou, P.A.
• Carolyn T Spawn, R.N.
• Brooke Edith Spear
• Kelly Spence

• Mental Health Counselor in Fulton, NY
• Providers in Fulton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.