Individual provider Active NPI

Ekiba Smith, MS

  • Mental Health Counselor
  • Saint Cloud, FL
National Provider Identifier
1902043797
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1417 Hamlin Ave Unit G
Saint Cloud, FL 34771-8590
Phone
(407) 676-4276
Fax
(407) 794-9175
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 Primary

Addresses

Primary practice location

1417 Hamlin Ave Unit G
Saint Cloud, FL 34771-8590

Mailing address

1427 Belladonna PL # 1018
Saint Cloud, FL 34771-5813
Phone (407) 676-4276

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
I20250523001151 FL Practitioner - Mental Health Counselor 4486185311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1417 Hamlin Ave
Unit G
Saint Cloud, FL 34771-8590
Phone (407) 676-4276

National Provider Directory

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

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Wellness Mindset Counseling Services LLC Mental Health CurrentSince Jul 7, 2024 Accepting new patients
Elevate Integrated Health LLC Mental Health CurrentSince Apr 17, 2025 Accepting new patients
Elle Cliniques LLC CurrentSince Apr 17, 2025 Accepting new patients

Locations

7157 Narcoossee Rd
Orlando, FL 32822
Phone (321) 718-8008

5850 Hansel Ave
Orlando, FL 32809
Phone (407) 751-0025

1417 Hamlin Ave
Unit G
Saint Cloud, FL 34771
Phone (407) 346-1466

1427 Belladonna Pl
Saint Cloud, FL 34771

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1902043797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 BELLADONNA PL # 1018",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347715813",
            "telephone_number": "407-676-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 HAMLIN AVE UNIT G",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718590",
            "telephone_number": "407-676-4276",
            "fax_number": "407-794-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EKIBA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.