Active NPI
Deborah S Smith, LPCC-S
- Professional Counselor
- Columbus, OH
National Provider Identifier
1972832525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0600635
- Practice address
- 777 W State St Ste 201
Columbus, OH 43222-1523 - Phone
- (614) 274-1455
- Fax
- (614) 274-1433
- NPI assigned
- Dec 10, 2009
- Last updated
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0600635 | OH | Primary |
Addresses
Primary practice location
777 W State St Ste 201
Columbus, OH 43222-1523
Mailing address
1160 W Broad St
Columbus, OH 43222-1352
Phone (614) 274-1455
Other practice location 1
420 N 8th St
Cambridge, OH 43725-1844
Phone (740) 439-5634
Other practice location 2
121 N 18th St
Cambridge, OH 43725-2501
Phone (740) 432-5130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0213623 | Medicaid | OH |
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 |
|---|---|---|---|
| E.0600635 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Lights Christian Health Center Inc | Past | Accepting new patients | |
| Lower Lights Christian Health Center Inc | Past | Accepting new patients | |
| Allwell Behavioral Health Services | Past | Accepting new patients | |
| The House of Samuel, Inc. | Past | Accepting new patients | |
| Thompkins Child & Adolescent Services | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Zanesville, OH
- NPI 1295212512
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1144589193
-
- Federally Qualified Health Center (FQHC)
- Newark, OH
- NPI 1144892472
-
- Community/Behavioral Health Agency
- Cambridge, OH
- NPI 1326290354
-
- Community/Behavioral Health Agency
- Cambridge, OH
- NPI 1689914251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1972832525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221352",
"telephone_number": "614-274-1455",
"fax_number": "614-274-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 W STATE ST STE 201",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432221523",
"telephone_number": "614-274-1455",
"fax_number": "614-274-1433"
}
],
"practiceLocations": [
{
"address_1": "420 N 8th St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "OH",
"postal_code": "437251844",
"country_code": "US",
"telephone_number": "740-439-5634",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 N 18th St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "OH",
"postal_code": "437252501",
"country_code": "US",
"telephone_number": "740-432-5130",
"fax_number": "740-432-5345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "DEBORAH",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-10",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0600635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0213623",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.