Thomas John Smid

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5080 N Elston Ave
Chicago, IL 60630-2459

Phone

(312) 783-1308

NPI assigned

Nov 9, 2022

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1871201798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TOM SMID, 5 ELM CREEK DR APT 318",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265292",
            "telephone_number": "312-783-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302459",
            "telephone_number": "312-783-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMID",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "envisionunlimited.org",
            "affiliation": "N",
            "address_1": "5080 N Elston Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606302459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.envisionunlimited.org",
            "affiliation": "N",
            "address_1": "5080 N Elston Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606302459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Emily Smiarowski, PA-C
• Kristen Smigelski, DPT
• Erin Smigla
• Nicole Jo Smigliani, LPC, MA
• Smile and Love LLC
• Smile Avenue Dental PC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.