CHARLES R SMITH C.M.H.C.
NPI 1053538975
Counselor - Mental Health in Ogden, UT

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
2909 WASHINGTON BLVD STE 101, OGDEN, UT 84401(888) 801-1556 Get Directions Write a Review

NPPES record last updated: December 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles R Smith C.m.h.c. NPPES

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

CHARLES R SMITH C.M.H.C. (NPI 1053538975) is an individual mental health provider in Ogden, Utah, licensed in Utah (7971378-6004) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053538975
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLES R SMITHCredential: C.M.H.C.
Location Address2909 WASHINGTON BLVD STE 101Ogden, UT 84401-3773
Mailing AddressPo Box 6332Ogden, UT 84402-6332 · (888) 801-1556 · Fax (877) 544-4630
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 20, 2007
Last NPPES UpdateDecember 24, 2018
✔ NPI 1053538975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in UT · 7971378-6004
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 7971378-6004 (UT)
2909 WASHINGTON BLVD STE 101, Ogden, UT 84401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles R Smith C.m.h.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931649381
PECOS Enrollment IDI20240911004293
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 Charles Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2909 WASHINGTON BLVD
Ogden, UT 84401
  • Reassigned Medicare billing, Utah enrollment
  • 4 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

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

Counselor (Mental Health)
2909 WASHINGTON BLVD STE 101
OGDEN, UT 84401

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 Charles Smith's NPI number?

The NPI number for Charles Smith is 1053538975. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Charles Smith located?

Charles Smith practices at 2909 Washington Blvd Ste 101, Ogden, UT 84401. The listed phone number is (888) 801-1556.

What is Charles Smith's specialty?

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

Is Charles Smith enrolled in Medicare?

Yes. Charles Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Smith reassigns Medicare benefits to Grace & Peace Christian Counseling (Ogden, UT). 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 Charles Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Smith accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Charles Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Smith was last updated on December 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.