Individual provider Active NPI

Amy McClinton-Smith, LPC

  • Professional Counselor
  • Port Allen, LA
National Provider Identifier
1720458292
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5116 Issued in LA
Practice address
203 Allendale Dr
Port Allen, LA 70767-3219
Phone
(225) 389-1311
Fax
(225) 389-1330
NPI assigned
Sep 28, 2015
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 5116 LA Primary

Addresses

Primary practice location

203 Allendale Dr
Port Allen, LA 70767-3219

Mailing address

PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292

Other practice location 1

936 N Bon Marche Dr
Baton Rouge, LA 70806-2257
Phone (225) 929-6355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250819004862 LA Practitioner - Mental Health Counselor 7618476250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 395
Clinton, LA 70722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5116LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Jul 28, 2025 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Current Accepting new patients
Primary Care Providers for a Healthy Feliciana Inc CurrentSince Jul 28, 2025 Accepting new patients

Locations

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

Interoperability endpoints

  • Direct secure messaging: amy.mcclintonsmith.p1@direct.rkmprimarycare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1720458292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ALLENDALE DR",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707673219",
            "telephone_number": "225-389-1311",
            "fax_number": "225-389-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 N Bon Marche Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708062257",
            "country_code": "US",
            "telephone_number": "225-929-6355",
            "fax_number": "225-929-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLINTON-SMITH",
        "first_name": "AMY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allen, LA

Sources for this page

Verify at the official NPI Registry.