Charles Elmore Smith
Individual provider Active NPI Mental Health Counselor · Springfield, MA
NPI 1649630633 · NPPES record last updated Mar 3, 2016
Key facts
- NPI
- 1649630633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 28 Dalton PL
Springfield, MA 01109-1611 - Phone
- (413) 885-0416
- NPI assigned
- Mar 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Men of Honor Youth Mentorship Program Inc. | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
28 Dalton PL
Springfield, MA 01109-1611
Mailing address
28 Dalton PL
Springfield, MA 01109-1611
Phone (413) 885-0416
Other providers in Springfield, MA
- Barbara Smith
- Barry L Smith
- Brittnee Smith
- Camille R Smith
- Carly Smith
- Cheryl Smith
- Dawn Nicole Smith
- Desirae Ann Smith
- Desiree Smith
- Dominick Joseph Smith
All providers in Springfield, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.