Active NPI
Rebeccs Smith, LCMHC
- Mental Health Counselor
- Clifton Park, NY
National Provider Identifier
1376996835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004784-1
- Practice address
- 1 Barney Rd
Suite232
Clifton Park, NY 12065-5843 - Phone
- (518) 527-1834
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004784-1 | NY | Primary |
Addresses
Primary practice location
1 Barney Rd
Suite232
Clifton Park, NY 12065-5843
Mailing address
1 Barney Rd
Suite232
Clifton Park, NY 12065-5843
Phone (518) 527-1834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004784-1 | Other | NY | UNY ED. DEPT. OFFICE OF PROFESSIONS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004784-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1376996835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BARNEY RD",
"address_2": "SUITE232",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655843",
"telephone_number": "518-527-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNEY RD",
"address_2": "SUITE232",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655843",
"telephone_number": "518-527-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "REBECCS",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004784-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNY ED. DEPT. OFFICE OF PROFESSIONS",
"identifier": "004784-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.