Andrew Jay Smith, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

86000420A Issued in IN

Practice address

619 Washington Ave
Terre Haute, IN 47802-1128

Phone

(812) 917-5006

NPI assigned

Feb 24, 2021

Sex

Male

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

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.

• Next Step Foundation Inc

  • Addiction (Substance Use Disorder) Counselor
  • Terre Haute, IN
  • NPI 1326519794

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1871187401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MONTEREY AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032116",
            "telephone_number": "410-599-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 WASHINGTON AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478021128",
            "telephone_number": "812-917-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "JAY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "86000420A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Robert Smeltzer, MSW, LSW
• Robin L. Smiddy, FNP-C
• Smith Optometric Associates, Inc
• Alaina Marie Smith, NP
• Amy Jo Smith, M.A.C.C.C.A.
• Avery Cheyenne Smith, NP
• Catherine Elizabeth Smith, BS
• Courtney Lynn Smith, STUDENT HIS
• Erica Smith
• James Steven Smith, O.D.

• All providers in Terre Haute, IN
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.