Individual provider Active NPI

James Gordon Smith III

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1417535956
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP11308 Issued in MD
Practice address
5820 York Rd Ste 201
Baltimore, MD 21212-3620
Phone
(410) 800-2169
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP11308 MD Primary

Addresses

Primary practice location

5820 York Rd Ste 201
Baltimore, MD 21212-3620

Mailing address

1350 Limit Ave
Idlewylde, MD 21239-1724
Phone (410) 350-5452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240412000070 MD Practitioner - Mental Health Counselor 2365881232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Point Wellness LLCGroup PAC ID 9931521556, 36 clinicians

Practice addresses (Care Compare)

5820 York Rd
Suite 201
Baltimore, MD 21212-3620
Phone (443) 560-6632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP11308MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Point Wellness, LLC CurrentSince Mar 4, 2024 Accepting new patients

Locations

5820 York Rd
Ste 201
Baltimore, MD 21212
Phone (410) 365-0693

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

212 W Main St
Ste 303
Salisbury, MD 21801
Phone (410) 401-8075

Organizations & group practices 1

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1417535956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 LIMIT AVE",
            "city": "IDLEWYLDE",
            "state": "MD",
            "postal_code": "212391724",
            "telephone_number": "410-350-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 YORK RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123620",
            "telephone_number": "410-800-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMES",
        "middle_name": "GORDON",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP11308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.