Ben N Smith IV, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

11550 Anderson Rd
Granger, IN 46530-7234

Phone

(847) 924-8095

NPI assigned

Jun 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Thrivemore Therapy, LLC

  • Counseling Psychologist
  • Granger, IN
  • NPI 1114771169
  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychologist

  NPD

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1679094536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 BEAR CAGE RD",
            "city": "ROAN MOUNTAIN",
            "state": "TN",
            "postal_code": "376873830",
            "telephone_number": "847-924-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 ANDERSON RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307234",
            "telephone_number": "847-924-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BEN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Nicholas Simmons I, DC
• Julie Lynn Simmons, :CSW
• Jill Suzanne Sims, M.D.
• Kiran Rawat Singh, M.D.
• Keziban Slisher, OTR
• Savannah Elaine Smith
• Steve Smith
• Paul A Smucker, MD
• South Bend Specialty Surgery Center, LLC
• South Bend Wellness Center LLC

• Counseling Psychologist in Granger, IN
• Providers in Granger, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.