Richard Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99128465A Issued in IN

Practice address

3562 E US Highway 30
Warsaw, IN 46580-6720

Phone

(574) 372-4489

NPI assigned

Nov 9, 2021

Last updated

Dec 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Human Wellness Collective LLCGroup PAC ID 2567812308, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Human Wellness Collective LLC

  • Mental Health Counselor
  • Warsaw, IN
  • NPI 1740850528
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1750047312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16965 HAMPTON DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309177",
            "telephone_number": "224-908-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3562 E US HIGHWAY 30",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465806720",
            "telephone_number": "574-372-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69045 M 62 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Edwardsburg",
            "state": "MI",
            "postal_code": "491129152",
            "country_code": "US",
            "telephone_number": "224-908-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99128465A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223648",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Slone
• Chelsea Smith
• Chloe Ruth Smith, OTD, OTR/L
• Jillian Elizabeth Smith, MSW
• Kiesha Smith
• Kathleen Snyder, CRNA
• Kelly Sobczak, LMHC
• Brock Spangle, DDS
• Taylor Lynne Spangle, OD
• Colin Richard Spencer, DDS

• Mental Health Counselor in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.