Individual provider Active NPI

Deborah S Smith, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Summit, NJ
National Provider Identifier
1649463241
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00099200 Issued in NJ
Practice address
99 Beauvoir Avenue
Op MH
Summit, NJ 07920
Phone
(888) 247-1400
Fax
(973) 290-7585
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00099200 NJ Primary

Addresses

Primary practice location

99 Beauvoir Avenue
Op MH
Summit, NJ 07920

Mailing address

95 Mt. Kemble Avenue
Attn C. Lampron
Morristown, NJ 07962-1978
Phone (973) 971-4714

Other names 1

  • Ms. Deborah G. Shuman Former name

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
37LC00099200NJMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1649463241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MT. KEMBLE AVENUE",
            "address_2": "ATTN C. LAMPRON",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621978",
            "telephone_number": "973-971-4714",
            "fax_number": "973-290-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEAUVOIR AVENUE",
            "address_2": "OP MH",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07920",
            "telephone_number": "888-247-1400",
            "fax_number": "973-290-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEBORAH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00099200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SHUMAN",
            "middle_name": "G.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.