Nicholas W Smith, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 3570 Issued in FL

Practice address

1363 Highway A1A
Satellite Beach, FL 32937-2407

Phone

(321) 777-0119

Fax

(321) 773-0810

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Nov 27, 2024 through Nov 27, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Nicholas W Smith,Inc.

  • Mental Health Counselor
  • Satellite Beach, FL
  • NPI 1245506963
  NPD (past) Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1497952030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372407",
            "telephone_number": "321-779-8119",
            "fax_number": "321-773-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372407",
            "telephone_number": "321-777-0119",
            "fax_number": "321-773-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 3570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Simpson, PHARM. D.
• Daniel Singer, LICENSED OPTICIAN
• Sean Todd Slovik, OTR/L, LMT
• Jennifer Smith, L.M.H.C.
• Linda J Smith, MA, LMHC
• Alan John Spindler, D.C., ARNP.
• John Stadelman, LMHC
• Mark Stamand, RPH
• Stephanie Steger, M.A, CCC-SLP
• Claire Steininger, APRN, FNP-C

• Mental Health Counselor in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.