Active NPI
Bridget Smith, LAC
- Mental Health Counselor
- Princeton, NJ
National Provider Identifier
1679467658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00656300
- Practice address
- 166 Bunn Drive
Ste 107
Princeton, NJ 08540-2800 - Phone
- (609) 474-0412
- NPI assigned
- Jun 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00656300 | NJ | Primary |
Addresses
Primary practice location
166 Bunn Drive
Ste 107
Princeton, NJ 08540-2800
Mailing address
G9 Shirley LN
Lawrence, NJ 08648-1424
Phone (609) 474-0412
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00656300 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1679467658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G9 SHIRLEY LN",
"city": "LAWRENCE",
"state": "NJ",
"postal_code": "086481424",
"telephone_number": "609-474-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 BUNN DRIVE",
"address_2": "STE 107",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085402800",
"telephone_number": "609-474-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRIDGET",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00656300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.