Individual provider Active NPI

Scott Smith, MA, LICDC-CS

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
National Provider Identifier
1477095628
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
02-1151 Issued in OH
Practice address
55 Arch St Ste 3a
Akron, OH 44304-1447
Phone
(330) 375-3584
NPI assigned
Nov 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 02-1151 OH Primary

Addresses

Primary practice location

55 Arch St Ste 3a
Akron, OH 44304-1447

Mailing address

1864 Summerchase Rd NE
Canton, OH 44721-3815
Phone (330) 323-1374

Other identifiers 1

IdentifierTypeStateIssuer
1477095628MedicaidOH

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
I20240314000244 OH Practitioner - Mental Health Counselor 6406292390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

45 Arch St
Akron, OH 44304-1403

525 E Market St
Akron, OH 44304-1619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
02-1151OHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Jan 24, 2024 Accepting new patients
Summa Physicians LLC CurrentSince Jan 24, 2024 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

55 Arch St
Ste 3A
Akron, OH 44304
Phone (330) 375-3584

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

Organizations & group practices 3

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1477095628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 SUMMERCHASE RD NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213815",
            "telephone_number": "330-323-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ARCH ST STE 3A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041447",
            "telephone_number": "330-375-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCOTT",
        "credential": "MA, LICDC-CS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-04",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "02-1151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477095628",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.