AMANDA SMITH
NPI 1043618218
Counselor - Mental Health in Smithtown, NY

Q: What is Amanda Smith's NPI number?

The NPI number for Amanda Smith is 1043618218. It was assigned to this individual provider in the NPPES registry on December 19, 2014.

Q: What is Amanda Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Smith was last updated on January 16, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 19, 2014PECOS Enrolled

496 SMITHTOWN BYP, SUITE 304, SMITHTOWN, NY 11787(631) 877-6777 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amanda Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SMITH (NPI 1043618218) is an individual mental health provider in Smithtown, New York, licensed in New York (6366) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043618218

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAMANDA SMITH

Location Address496 SMITHTOWN BYP, SUITE 304Smithtown, NY 11787-5005

Mailing Address680 N Indiana AveLindenhurst, NY 11757-2910 · (631) 877-6777

Phone(631) 877-6777

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateDecember 19, 2014

Last NPPES UpdateJanuary 16, 2017

✔ NPI 1043618218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 6366

496 SMITHTOWN BYP, Smithtown, NY 11787

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294231536

PECOS Enrollment IDI20251003004058

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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