Active NPI
Emmanuel Smith
- Mental Health Counselor
- Crofton, MD
National Provider Identifier
1962190314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP13660
- Practice address
- 2138 Priest Bridge CT
Crofton, MD 21114-2462 - Phone
- (667) 239-8348
- NPI assigned
- Apr 25, 2023
- Last updated
- Apr 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP13660 | MD | Primary |
Addresses
Primary practice location
2138 Priest Bridge CT
Crofton, MD 21114-2462
Mailing address
8229 Kramer CT
Glen Burnie, MD 21061-5104
Phone (443) 336-9104
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP13660 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1962190314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8229 KRAMER CT",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615104",
"telephone_number": "443-336-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 PRIEST BRIDGE CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142462",
"telephone_number": "667-239-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EMMANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP13660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.