Individual provider Active NPI

Sarah Beth Smith, LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1790844264
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002058A Issued in IN
Practice address
610 E Southport Rd
100
Indianapolis, IN 46227-8592
Phone
(317) 783-8383
Fax
(317) 782-6929
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 39002058A IN Primary

Addresses

Primary practice location

610 E Southport Rd
100
Indianapolis, IN 46227-8592

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4868

Other practice location 1

6745 Gray Rd
Suite C
Indianapolis, IN 46237-3262
Phone (317) 345-4489

Other practice location 2

6745 Gray Rd
Suite C
Indianapolis, IN 46237-3262
Phone (317) 345-4489

Other identifiers 1

IdentifierTypeStateIssuer
100270530MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssmith99781@Direct.FranciscanAlliance.org Direct

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

State licenses

LicenseStateTypeSpecialty
39002058AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Past Accepting new patients
Franciscan Physician Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ssmith99781@direct.franciscanalliance.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1790844264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E SOUTHPORT RD",
            "address_2": "100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462278592",
            "telephone_number": "317-783-8383",
            "fax_number": "317-782-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6745 Gray Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462373262",
            "country_code": "US",
            "telephone_number": "317-345-4489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6745 Gray Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462373262",
            "country_code": "US",
            "telephone_number": "317-345-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002058A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270530",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssmith99781@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5230 E Stop 11 Rd Ste 350",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.