Randy Alan Smith, L.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW129264 Issued in PA

Practice address

206 W High St
Bellefonte, PA 16823-1302

Phone

(814) 353-3151

NPI assigned

Mar 12, 2012

Last updated

Mar 12, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rise Counseling Inc

  • Mental Health Counselor
  • State College, PA
  • NPI 1578021929
  NPD (past)

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1346515251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GRANDVIEW ROAD",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168280602",
            "telephone_number": "814-364-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W HIGH ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231302",
            "telephone_number": "814-353-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RANDY",
        "middle_name": "ALAN",
        "credential": "L.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW129264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Givens Shirey, PH.D.
• Stephanie Shuey, MPS, RDN, LDN, IBCLC
• Haley Sandra Shultz, COTA/L
• Silver Linings LLC (Silver Lining Chiropractic and Wellness Spa)
• Sincere Therapy LLC
• Makenzie Rae Sohns, DPT
• Tiffany Ann Sottile, CRNP
• Sound Mind Healthcare LLC
• Jennifer South, MA, LPC
• Laura Stanley, DPT

• Mental Health Counselor in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.