Branden M Smith, LISW, LICDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA163104 Issued in OH

Practice address

27511 Holiday LN Ste 211
Perrysburg, OH 43551-5397

Phone

(419) 450-0892

NPI assigned

Sep 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Enlighten Counseling Center LLCGroup PAC ID 3375918675, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Enlighten Counseling Center, LLC

  • Clinical Social Worker
  • Perrysburg, OH
  • NPI 1306550819

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Zepf Center

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1215947809
  Medicare reassignment NPD
• Zepf Center

  • Federally Qualified Health Center (FQHC)
  • Toledo, OH
  • NPI 1689559163
  NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1295254373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27511 HOLIDAY LN STE 211",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515397",
            "telephone_number": "419-450-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27511 HOLIDAY LN STE 211",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515397",
            "telephone_number": "419-450-0892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082906",
            "country_code": "US",
            "telephone_number": "419-693-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDEN",
        "middle_name": "M",
        "credential": "LISW, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203743",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA163104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Allen Skiver, M.D.
• Cynthia Sue Slaught
• Monica Sue Slovak
• Tori Marie Smith Vanbelle, PT, NCS
• Amber D Smith
• Deanna L Smith, NP
• Gregory Smith
• Michael Terry Smith, PHARMACIST
• Pamela Smith, LPN
• Shannon Smith, RD, LD

• Addiction (Substance Use Disorder) Counselor in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.