Marian Haftel Smith, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5151 Issued in FL

Practice address

468 SE Evergreen Dr
Lake City, FL 32025-6875

Phone

(904) 206-0641

Fax

(904) 491-3337

NPI assigned

Aug 3, 2006

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marion E Haftel Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haftel Healing Arts LLC

  • Mental Health Counselor
  • Fernandina Beach, FL
  • NPI 1316256662
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1962419598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 SE EVERGREEN DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256875",
            "telephone_number": "904-206-0641",
            "fax_number": "904-491-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 SE EVERGREEN DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256875",
            "telephone_number": "904-206-0641",
            "fax_number": "904-491-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARIAN",
        "middle_name": "HAFTEL",
        "name_prefix": "Ms.",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005597",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759732100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "HAFTEL",
            "middle_name": "E",
            "credential": "LMHC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayanna Smith, LMT
• Bethany Grace Smith
• Danielle Smith, OTR/L
• Jessica Lynn Smith
• Maria D. Smith, M.D.
• Megan Fultz Smith, ARNP
• Michelle Lynnette Smith, PH.D.
• Morgan Smith, PHARM.D.
• Temika Q Smith
• Ternita Lasharne Smith, PMHNP-BC

• Mental Health Counselor in Lake City, FL
• Providers in Lake City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.