Active NPI
Sean Thomas Smith, MS
- Professional Counselor
- King of Prussia, PA
National Provider Identifier
1568710168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008878
- Practice address
- 680 American Ave
Suite 302
King of Prussia, PA 19406-4023 - Phone
- (610) 644-6464
- Fax
- (610) 981-6078
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008878 | PA | Primary |
Addresses
Primary practice location
680 American Ave
Suite 302
King of Prussia, PA 19406-4023
Mailing address
1440 Russell Rd
Paoli, PA 19301-1236
Phone (610) 644-6464
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008878 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1568710168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 RUSSELL RD",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011236",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 AMERICAN AVE",
"address_2": "SUITE 302",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194064023",
"telephone_number": "610-644-6464",
"fax_number": "610-981-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SEAN",
"middle_name": "THOMAS",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.