Nicolas Ryan Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.2606350 Issued in OH

Practice address

630 E Broad St
Columbus, OH 43215-3999

Phone

(614) 618-5955

NPI assigned

Feb 5, 2019

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1295096758
  NPD (past)
• Optum Behavioral Care of Ohio, Inc

  • Counseling Psychologist
  • Columbus, OH
  • NPI 1952177644
  NPD (past)
• Real Psychological Services

  • Counseling Psychologist
  • Columbus, OH
  • NPI 1972314151
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770048696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153999",
            "telephone_number": "614-618-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLAS",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162627",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2606350",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC8811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrkle Smith
• Nancy Smith, RN
• Nancy Ann-Alexandria Smith, QMHS
• Nancy Jane Smith, LPC, MSED
• Nathan Smith
• Nicole Smith
• Nicole Renee Smith, CNP
• Niti Smith, M.D.
• Pamela Escobar Smith, M.D.
• Patricia A Smith, PH.D.

• All providers in Columbus, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.