Chelsie Smith, LADC, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC6554 Issued in ME

Practice address

659 Hogan Rd
Bangor, ME 04401-3626

Phone

(207) 973-0400

NPI assigned

May 29, 2018

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Metro Treatment of Maine LP

  dba New Season 470-471 Treatment Center

  • Methadone Clinic
  • Bangor, ME
  • NPI 1770799306
  NPD

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1861983652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 HOGAN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013626",
            "telephone_number": "207-973-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 HOGAN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013626",
            "telephone_number": "207-973-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHELSIE",
        "credential": "LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam David Smith, MD
• Austin Smith
• Benjamin Chad Smith, PMHNP
• Brooke Charlotte Smith, LMSW-CC
• C Christopher Smith, M.D.F.A.C.S.
• Dustin Smith
• Elizabeth Ann Smith, PMHNP
• Emily Smith
• Haley Smith
• Hunter Smith, CADC

• Addiction (Substance Use Disorder) Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.