Individual provider Active NPI

Deborah Smith, ATR-BC, LCAT, LMHC

  • Mental Health Counselor
  • Babylon, NY
National Provider Identifier
1295885887
Registry record updated May 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18 001904 Issued in NY
Practice address
74 Fire Island Ave
Suite 5
Babylon, NY 11702-3531
Phone
(516) 712-0159
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 18 001904 NY Primary
Art Therapist 221700000X 05 000849 NY

Addresses

Primary practice location

74 Fire Island Ave
Suite 5
Babylon, NY 11702-3531

Mailing address

74 Fire Island Ave
Suite 5
Babylon, NY 11702-3531
Phone (516) 712-0159

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

LicenseStateTypeSpecialty
18 001904NYMDMental Health Counselor
05 000849NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1295885887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 FIRE ISLAND AVE",
            "address_2": "SUITE 5",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023531",
            "telephone_number": "516-712-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 FIRE ISLAND AVE",
            "address_2": "SUITE 5",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023531",
            "telephone_number": "516-712-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "ATR-BC, LCAT, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18 001904",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "05 000849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.