Individual provider Active NPI

Elizabeth Hanna Smith, LPC, ATR-BC, PMH

  • Mental Health Counselor
  • Crystal River, FL
National Provider Identifier
1598907206
Registry record updated Apr 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PMH1372 Issued in FL
Practice address
116 NE 5TH St
Crystal River, FL 34429-4150
Phone
(352) 228-4969
NPI assigned
Mar 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004490 VA
Mental Health Counselor 101YM0800X PMH1372 FL Primary

Addresses

Primary practice location

116 NE 5TH St
Crystal River, FL 34429-4150

Mailing address

2252 S Bolton Ave
Homosassa, FL 34448-2206
Phone (540) 461-2384

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

State licenses

LicenseStateTypeSpecialty
PMH1372FLMDMental Health Counselor
0701004490VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a. Martin, Inc. Mental Health PastSince May 17, 2012 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.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459555200000",
    "number": "1598907206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 S BOLTON AVE",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344482206",
            "telephone_number": "540-461-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NE 5TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294150",
            "telephone_number": "352-228-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "HANNA",
        "name_prefix": "Ms.",
        "credential": "LPC,  ATR-BC, PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2016-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004490",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.