Nicole Lynn Smith-Merry, LPC,NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012181 Issued in PA

Practice address

23 Baltimore St Ste 102
Gettysburg, PA 17325-2306

Phone

(717) 549-2533

Fax

(717) 549-2534

NPI assigned

Mar 29, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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.

• Calimore Counseling Center, LLC

  • Mental Health Counselor
  • Gettysburg, PA
  • NPI 1790580496
  Medicare reassignment NPD Authorized official
• Smith-Merry Counseling Services, Inc.

  • Professional Counselor
  • Gettysburg, PA
  • NPI 1235768771
  NPD Authorized official

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585440000000",
    "number": "1306474028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 MEHRING RD",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173409158",
            "telephone_number": "443-703-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BALTIMORE ST STE 102",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252306",
            "telephone_number": "717-549-2533",
            "fax_number": "717-549-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-MERRY",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anushia Sivendran, DMD
• Tharmalingam Sivendran, M.D.
• Keegan Skidmore, M.D.
• Sleep Apnea Solutions Gettysburg LLC
• Smith-Merry Counseling Services, Inc.
• Alexander Nathaniel Smith, RPH
• Andrew Thomas Smith, M.D.
• Benjamin Jared Smith, MD
• Colleen Smith
• Dominic Smith, M.D.

• Professional Counselor in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.