Active NPI
Roger Smothers, M.S.
- Psychologist
- Friendsville, PA
National Provider Identifier
1477518876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004970L
- Practice address
- 27241 State Route 267
Friendsville, PA 18818-8640 - Phone
- (570) 553-2078
- Fax
- (607) 772-2041
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004970L | PA | Primary |
Addresses
Primary practice location
27241 State Route 267
Friendsville, PA 18818-8640
Mailing address
27241 State Route 267
Friendsville, PA 18818-8640
Phone (570) 553-2078
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 615053 | Other | PA | HIGHMARK BC/BS |
| 080439 | Other | PA | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080122000536 | PA | Practitioner - Psychologist Billing Independently | 0840371357 | Practice locations: Friendsville, PA; New Milford, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27241 State Route 267
Friendsville, PA 18818-8640
Phone (570) 553-2078
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endless Mountains Counseling Associates | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- Friendsville, PA
- NPI 1194030726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1477518876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27241 STATE ROUTE 267",
"city": "FRIENDSVILLE",
"state": "PA",
"postal_code": "188188640",
"telephone_number": "570-553-2078",
"fax_number": "607-772-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27241 STATE ROUTE 267",
"city": "FRIENDSVILLE",
"state": "PA",
"postal_code": "188188640",
"telephone_number": "570-553-2078",
"fax_number": "607-772-2041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOTHERS",
"first_name": "ROGER",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004970L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "615053",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "080439",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Friendsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.