Carol Lynn Smith, LCMHC LDAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0057811 Issued in VT

Practice address

445 Portland St
St. Johnsbury, VT 05819

Phone

(802) 748-6166

Fax

(802) 748-3316

NPI assigned

Jun 17, 2010

Last updated

Jun 17, 2010By 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

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Baart Behavioral Health Services, Inc.

  dba BAART Programs St. Johnsbury

  • Substance Use Disorder Rehabilitation Clinic/Center
  • St Johnsbury, VT
  • NPI 1013055110
  NPD (past)
• Baart Behavioral Health Services, Inc.

  dba BAART Programs Bennington

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bennington, VT
  • NPI 1740086263
  NPD (past)
• Nek Counseling and Consultation

  • Mental Health Counselor
  • Derby, VT
  • NPI 1134506504

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1639490279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OAK ST.",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "05855",
            "telephone_number": "802-334-1343",
            "fax_number": "802-748-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 PORTLAND ST",
            "city": "ST. JOHNSBURY",
            "state": "VT",
            "postal_code": "05819",
            "telephone_number": "802-748-6166",
            "fax_number": "802-748-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCMHC LDAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000461",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0057811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shippee Family Eye Care, P.C.
• Karena Shippee, OD
• Katherine Ann Silloway, DDS
• Alice Hershey Silverman, MD
• Rebecca Singer, P.A.
• Robert M Smith, MD
• Dennis Pestano Sol Cruz, 026.0069813
• Jonathan Duvall Speer, PA
• St Johnsbury Psychology Associates, PLLC
• Amanda M St Martin, MD

• Mental Health Counselor in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.