Individual provider Active NPI

Anita Esther Wing May Smith, MA

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1841907011
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH22864 Issued in FL
Practice address
2900 Logandale Dr
Orlando, FL 32817-1839
Phone
(407) 205-2143
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 IMH22864 FL Primary

Addresses

Primary practice location

2900 Logandale Dr
Orlando, FL 32817-1839

Mailing address

10226 Curry Ford Rd.
Suite 107 PMB 1123
Orlando, FL 32825
Phone (407) 205-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113000545 FL Practitioner - Mental Health Counselor 5799213203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Bonds Counseling, LLCGroup PAC ID 0941608590, 5 clinicians

Practice addresses (Care Compare)

600 E Colonial Dr
Suite 220
Orlando, FL 32803-4650
Phone (407) 801-3578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH22864FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Bonds Counseling, LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

600 E Colonial Dr
Ste 220
Orlando, FL 32803
Phone (407) 801-3578

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1841907011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10226 CURRY FORD RD.",
            "address_2": "SUITE 107 PMB 1123",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "407-205-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOGANDALE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171839",
            "telephone_number": "407-205-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANITA",
        "middle_name": "ESTHER WING MAY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH22864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.