Active NPI
Gilbert A Smith, PH.D
- Mental Health Counselor
- Sicklerville, NJ
National Provider Identifier
1780745174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 44SC01029400
- Practice address
- 504 Sicklerville Rd
2ND. Floor
Sicklerville, NJ 08081-2626 - Phone
- (856) 728-4464
- Fax
- (856) 629-7468
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 44SC01029400 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 44SC01029400 | NJ | |
| Mental Health Counselor | 101YM0800X | 44SC01029400 | NJ | Primary |
| Professional Counselor | 101YP2500X | 44SC01029400 | NJ | |
| School Counselor | 101YS0200X | 44SC01029400 | NJ |
Addresses
Primary practice location
504 Sicklerville Rd
2ND. Floor
Sicklerville, NJ 08081-2626
Mailing address
PO Box 112
Sicklerville, NJ 08081-0112
Phone (856) 728-4464
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC01029400 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Counselors, P.a. | Counselor | 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.
-
- Mental Health Counselor
- Sicklerville, NJ
- NPI 1356402432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1780745174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080810112",
"telephone_number": "856-728-4464",
"fax_number": "856-629-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 SICKLERVILLE RD",
"address_2": "2ND. FLOOR",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080812626",
"telephone_number": "856-728-4464",
"fax_number": "856-629-7468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GILBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "44SC01029400",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "44SC01029400",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SC01029400",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "44SC01029400",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NJ",
"license": "44SC01029400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.