MR. BRANDON MICHAEL SMITH LPC
NPI 1063230456
Counselor - Professional in Springfield, IL

Active since October 02, 2024PECOS EnrolledAccepts Medicare Assignment
1025 S 6TH ST, SPRINGFIELD, IL 62703(217) 528-7541 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Oct 2, 2024 (2 updates tracked since 2024).

About Mr. Brandon Michael Smith Lpc NPPES

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

MR. BRANDON MICHAEL SMITH LPC (NPI 1063230456) is an individual professional provider in Springfield, Illinois, licensed in Illinois (178020431) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063230456
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BRANDON MICHAEL SMITHCredential: LPC
Location Address1025 S 6TH STSpringfield, IL 62703-2499
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 2, 2024
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1063230456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178020431
Also ListedCounselorTaxonomy 101Y00000X · License 178.020431 (IL)
1025 S 6TH ST, Springfield, IL 62703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Brandon Michael Smith Lpc 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 ID9537692397
PECOS Enrollment IDI20241031002725
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.

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 (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Counselor
1025 S 6TH ST
SPRINGFIELD, IL 62703
Anesthesiology
1025 S 6TH ST
SPRINGFIELD, IL 62703
Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Nurse Anesthetist, Certified Registered
1025 S 6TH ST
SPRINGFIELD, IL 62703
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Ophthalmology
1025 S 6TH ST
SPRINGFIELD, IL 62703

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 Brandon Smith's NPI number?

The NPI number for Brandon Smith is 1063230456. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Brandon Smith located?

Brandon Smith practices at 1025 S 6th St, Springfield, IL 62703. The listed phone number is (217) 528-7541.

What is Brandon Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Brandon Smith enrolled in Medicare?

Yes. Brandon 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.

When was this NPI record last updated?

The NPPES record for Brandon Smith was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.