Active NPI
Audrey Elaine Smith, QMHP
- Social Worker
- Dixon, IL
National Provider Identifier
1760034748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 325 Il Route 2
Dixon, IL 61021-9118 - Phone
- (815) 288-6611
- NPI assigned
- Jul 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
325 Il Route 2
Dixon, IL 61021-9118
Mailing address
325 Il Route 2
Dixon, IL 61021-9118
Phone (815) 288-6611
Other practice location 1
73 W Monroe Street #422
Chicago, IL 60603
Phone (888) 500-2067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cartwheel Health Services PC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Cambridge, MA
- NPI 1912633975
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1760034748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 IL ROUTE 2",
"city": "DIXON",
"state": "IL",
"postal_code": "610219118",
"telephone_number": "815-288-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 IL ROUTE 2",
"city": "DIXON",
"state": "IL",
"postal_code": "610219118",
"telephone_number": "815-288-6611"
}
],
"practiceLocations": [
{
"address_1": "73 W Monroe Street #422",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60603",
"country_code": "US",
"telephone_number": "888-500-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "AUDREY",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.