Active NPI
Samantha Smith, CDCA
- Addiction (Substance Use Disorder) Counselor
- Marion, OH
National Provider Identifier
1619513546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 827 N Main St
Marion, OH 43302-1736 - Phone
- (740) 442-7045
- NPI assigned
- Nov 26, 2019
- Last updated
- Jan 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Mental Health Counselor | 101YM0800X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | CDCA.170169 | OH |
Addresses
Primary practice location
827 N Main St
Marion, OH 43302-1736
Mailing address
827 N Main St
Marion, OH 43302-1736
Other practice location 1
333 E Center St Ste 302
Marion, OH 43302-4142
Phone (740) 751-4078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0380748 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.170169 | OH | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day One Integrative Services LLC. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Marion, OH
- NPI 1770102089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1619513546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 N MAIN ST",
"city": "MARION",
"state": "OH",
"postal_code": "433021736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 N MAIN ST",
"city": "MARION",
"state": "OH",
"postal_code": "433021736",
"telephone_number": "740-442-7045"
}
],
"practiceLocations": [
{
"address_1": "333 E Center St Ste 302",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "OH",
"postal_code": "433024142",
"country_code": "US",
"telephone_number": "740-751-4078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SAMANTHA",
"credential": "CDCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "CDCA.170169",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0380748",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.