Individual provider Active NPI

Christine Smith, LMHC, NCC

  • Mental Health Counselor
  • Saratoga Springs, NY
National Provider Identifier
1770782559
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000004 Issued in NY
Practice address
125 High Rock Ave
Suite 108
Saratoga Springs, NY 12866
Phone
(518) 852-7575
NPI assigned
Jul 12, 2007
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000004 NY Primary

Addresses

Primary practice location

125 High Rock Ave
Suite 108
Saratoga Springs, NY 12866

Mailing address

125 High Rock Ave
Suite 108
Saratoga Springs, NY 12866
Phone (518) 852-7575

Other names 1

  • Christine Smith Mulford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 5, 2024 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000004NYMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1770782559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HIGH ROCK AVE",
            "address_2": "SUITE 108",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-852-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HIGH ROCK AVE",
            "address_2": "SUITE 108",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-852-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINE",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MULFORD",
            "middle_name": "SMITH",
            "credential": "LMHC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.