Individual provider Active NPI

Michael Smith, LPC

  • Mental Health Counselor
  • Gadsden, AL
National Provider Identifier
1629079223
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2017 Issued in AL
Practice address
1519 Rainbow Dr
Gadsden, AL 35901-5326
Phone
(256) 459-8255
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2017 AL Primary

Addresses

Primary practice location

1519 Rainbow Dr
Gadsden, AL 35901-5326

Mailing address

PO Box 7052
Gadsden, AL 35906-7052
Phone (256) 393-2463

Other identifiers 1

IdentifierTypeStateIssuer
2017OtherALLPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 30, 2025 through Sep 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2017ALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Associates Mental Health CurrentSince Apr 23, 2023 Accepting new patients

Locations

1519 Rainbow Dr
Gadsden, AL 35901
Phone (256) 459-8255

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1629079223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7052",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359067052",
            "telephone_number": "256-393-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015326",
            "telephone_number": "256-459-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "2017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "2017",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.