Active NPI
Chayzee Smith, MS, LMHC, LCAC
- Mental Health Counselor
- Indianapolis, IN
National Provider Identifier
1902996192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001721A
- Practice address
- 2345 S Lynhurst Dr
Indianapolis, IN 46241-8630 - Phone
- (317) 247-8900
- Fax
- (317) 272-0807
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001721A | IN | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001182A | IN |
Addresses
Primary practice location
2345 S Lynhurst Dr
Indianapolis, IN 46241-8630
Mailing address
PO Box 487
Richmond, IN 47375-0487
Phone (765) 983-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001182A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 39001721A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cummins Behavioral Health Systems, Incorporated | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avon, IN
- NPI 1740232115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1902996192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473750487",
"telephone_number": "765-983-8000",
"fax_number": "765-983-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 S LYNHURST DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462418630",
"telephone_number": "317-247-8900",
"fax_number": "317-272-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHAYZEE",
"name_prefix": "Mr.",
"credential": "MS, LMHC, LCAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001721A",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87001182A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.