Active NPI
Robert Smith Jr., LMHC
- Mental Health Counselor
- Albany, NY
National Provider Identifier
1285178137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007579-1
- Practice address
- 10 McKown Rd Ste 102
Albany, NY 12203-3496 - Phone
- (518) 689-0244
- NPI assigned
- Dec 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007579-1 | NY | Primary |
Addresses
Primary practice location
10 McKown Rd Ste 102
Albany, NY 12203-3496
Mailing address
1902 8TH St Apt 1
Rensselaer, NY 12144-1413
Phone (845) 304-3683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007579-1 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Behavioral Health Ipa PLLC | Mental Health | Past | Accepting new patients |
| Joseph Ippolito | 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.
-
- Clinical Social Worker
- Albany, NY
- NPI 1720490949
-
- Mental Health Counselor
- Albany, NY
- NPI 1447276720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1285178137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 8TH ST APT 1",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121441413",
"telephone_number": "845-304-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MCKOWN RD STE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033496",
"telephone_number": "518-689-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-12",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007579-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.