Individual provider Active NPI

Doris M Smith, LMHC

  • Professional Counselor
  • Worcester, MA
National Provider Identifier
1700991684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1404 Issued in MA
Practice address
72 Jaques Ave
Worcester, MA 01610-2476
Phone
(508) 860-1033
Fax
(508) 860-1068
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1404 MA Primary

Addresses

Primary practice location

72 Jaques Ave
Worcester, MA 01610-2476

Mailing address

401 Peakham Rd
Sudbury, MA 01776-2761
Phone (978) 443-5702

Other identifiers 1

IdentifierTypeStateIssuer
1404OtherMALMHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240117002734 MA Practitioner - Mental Health Counselor 6608228408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocates, Inc.Group PAC ID 9830404045, 111 clinicians

Practice addresses (Care Compare)

354 Waverley St
FL 2
Framingham, MA 01702-7079
Phone (508) 661-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1404MAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates, Inc CurrentSince Jan 5, 2024 Accepting new patients
Community Healthlink Inc CurrentSince Sep 6, 2024 Accepting new patients
Community Healthlink, Inc. CurrentSince Sep 6, 2024 Accepting new patients
Advocates, Inc. CurrentSince Jan 5, 2024 Accepting new patients

Locations

354 Waverley St
Fl 2
Framingham, MA 01702
Phone (440) 223-3654

1881 Worcester Rd
Framingham, MA 01701

1094 Worcester Rd
Framingham, MA 01702
Phone (508) 665-4344

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

12 Queen St
Worcester, MA 01610
Phone (508) 860-1242

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700991684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PEAKHAM RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762761",
            "telephone_number": "978-443-5702",
            "fax_number": "508-860-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JAQUES AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102476",
            "telephone_number": "508-860-1033",
            "fax_number": "508-860-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DORIS",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "1404",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.