Individual provider Active NPI

Chelsee Ty Smith, LPC

  • Counselor
  • Sandusky, OH
National Provider Identifier
1306372545
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C1500371 Issued in OH
Practice address
1634 Sycamore Line
Sandusky, OH 44870-4132
Phone
(419) 626-9156
Fax
(419) 621-0099
NPI assigned
May 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C1500371 OH Primary

Addresses

Primary practice location

1634 Sycamore Line
Sandusky, OH 44870-4132

Mailing address

1634 Sycamore Line
Sandusky, OH 44870-4132
Phone (419) 626-9156

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240126004001 OH Practitioner - Mental Health Counselor 7911350848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Bayshore Counseling Services IncGroup PAC ID 7315903853, 3 clinicians

Practice addresses (Care Compare)

1634 Sycamore Line
Sandusky, OH 44870-4132
Phone (419) 626-9256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1500371OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Counseling Services, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Bayshore Counseling Services, Inc. PastSince Jan 8, 2024 Accepting new patients

Locations

1634 Sycamore Line
Sandusky, OH 44870
Phone (419) 626-9156

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.

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1306372545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 SYCAMORE LINE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704132",
            "telephone_number": "419-626-9156",
            "fax_number": "419-621-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 SYCAMORE LINE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704132",
            "telephone_number": "419-626-9156",
            "fax_number": "419-621-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHELSEE",
        "middle_name": "TY",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C1500371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.