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

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: October 18, 2026.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1717 NEWTOWN-LANGHORNE ROAD, ONE SUMMIT SQUARE, SUITE 304
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
496 SMITHTOWN BYP
SMITHTOWN, NY 11787
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Social Worker (Clinical)
496 SMITHTOWN BYP, SUITE 202
SMITHTOWN, NY 11787
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Psychologist
496 SMITHTOWN BYP, #304
SMITHTOWN, NY 11787
Nurse Practitioner (Adult Health)
496 SMITHTOWN BYP, SUITE 200
SMITHTOWN, NY 11787
Internal Medicine (Interventional Cardiology)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Psychologist (Clinical Child & Adolescent)
496 SMITHTOWN BYP, SUITE 304
SMITHTOWN, NY 11787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Amanda Smith located?

Amanda Smith practices at 496 Smithtown Byp Suite 304, Smithtown, NY 11787. The listed phone number is (631) 877-6777.

What is Amanda Smith's specialty?

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

Is Amanda Smith enrolled in Medicare?

Yes. Amanda Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Smith reassigns Medicare benefits to Newtown Psychotherapy Center (Langhorne, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Smith was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.