Individual provider Active NPI

Melissa Rivera-Smith, LCPC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1730749979
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC11785 Issued in MD
Practice address
124 N Court St
Frederick, MD 21701-6614
Phone
(301) 304-7108
NPI assigned
Jun 19, 2019
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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 LC11785 MD Primary

Addresses

Primary practice location

124 N Court St
Frederick, MD 21701-6614

Mailing address

124 N Court St
Frederick, MD 21701-6614
Phone (301) 304-7108

Other identifiers 1

IdentifierTypeStateIssuer
119591300MedicaidMD

Other names 1

  • Ms. Melissa Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@traumaspecialistsofde.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20260415000286 DE Practitioner - Mental Health Counselor 9931675212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

119 W 3Rd St
Suite 3
Lewes, DE 19958-1315
Phone (302) 618-4416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC11785MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Alignment Counseling, LLC CurrentSince Feb 15, 2026 Accepting new patients

Locations

119 W 3rd St
Ste 3
Lewes, DE 19958
Phone (302) 618-4416

Organizations & group practices 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1730749979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016614",
            "telephone_number": "301-304-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N COURT ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016614",
            "telephone_number": "301-304-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-SMITH",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC11785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119591300",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@traumaspecialistsofde.com",
            "affiliation": "N",
            "address_1": "124 N Court St",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217016614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SMITH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.