Individual provider Active NPI

Sarah Ann Smith-Putman, LC-ADC

  • Addiction (Substance Use Disorder) Counselor
  • Chestertown, MD
National Provider Identifier
1750460333
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCA208 Issued in MD
Practice address
860 High St
Chestertown, MD 21620-3909
Phone
(443) 994-9582
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA208 MD Primary

Addresses

Primary practice location

860 High St
Chestertown, MD 21620-3909

Mailing address

PO Box 206
Crumpton, MD 21628-0206
Phone (443) 994-9582

Other identifiers 5

IdentifierTypeStateIssuer
648429-01OtherMDBLUE CROSS BLUE SHIELD MD
100079084OtherMDAMERICAN PSYCH SYSTEMS
2144062OtherMDMAMSI/UNITED HEALTHCARE
206966OtherMDJOHNS HOPKINS HEALTHCARE
T418-0014OtherMDBCBS/GHMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240212000173 MD Practitioner - Mental Health Counselor 4082057666 Practice locations: Chestertown, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCA208MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1750460333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "CRUMPTON",
            "state": "MD",
            "postal_code": "216280206",
            "telephone_number": "443-994-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HIGH ST",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203909",
            "telephone_number": "443-994-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-PUTMAN",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "LC-ADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MD",
            "identifier": "648429-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN PSYCH SYSTEMS",
            "identifier": "100079084",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/UNITED HEALTHCARE",
            "identifier": "2144062",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "206966",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/GHMSI",
            "identifier": "T418-0014",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

Verify at the official NPI Registry.