Michele Rae Smith, LPC, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00346200 Issued in NJ

Practice address

1115 Willow Ave
#304
Hoboken, NJ 07030-3200

Phone

(201) 876-9402

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 1, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639388218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WILLOW AVE",
            "address_2": "#304",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303200",
            "telephone_number": "201-876-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WILLOW AVE",
            "address_2": "#304",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303200",
            "telephone_number": "201-876-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LPC, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00346200",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heaven Smith
• Helen Smith, MSW LCSW
• Jody Smith, LPC
• Marielle Kenyon Smith
• Michael Smith, LMHC, CRC
• Tiffany Smolansky, CCC-SLP
• Sarah Beth Snow, PT, DPT
• Andrew Sofranko
• Solace Health Medical Group, Inc.
• Amy Marie Solano, PTA

• Mental Health Counselor in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.