Bobbi Jo Smith, EDD, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015800 Issued in NY

Practice address

5578 Purdy Rd
Canandaigua, NY 14424-7997

Phone

(585) 694-8465

Fax

(585) 694-8465

NPI assigned

Jun 30, 2025

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tru E-Wellness NP, PLLC

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1437874146
  NPD (past)

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1720977457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5578 PURDY RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247997",
            "telephone_number": "585-694-8465",
            "fax_number": "585-694-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5578 PURDY RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247997",
            "telephone_number": "585-694-8465",
            "fax_number": "585-694-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Lafayette Sq Ste 2300",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031923",
            "country_code": "US",
            "telephone_number": "716-302-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BOBBI JO",
        "name_prefix": "Dr.",
        "credential": "EDD, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla E Slater
• Jo Ann Sleckman, PA
• Juliana Marie Sledziewski, MS, CCC-SLP
• Denise A Slocum
• Angela Marie Smith, LMSW
• Christopher Smith, LCSW
• Colin William Smith, PA-C
• Darrick Smith, PT, DPT
• Hannah Smith, LMSW
• Jeffrey Donald Smith, D.C.

• Mental Health Counselor in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.