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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: October 18, 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
Phone(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
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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

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.

Medicare Billing Reassignment

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

Springfield Clinic, LLP
Same address
Multi-Specialty
1025 S 6TH ST
Springfield, IL 62703
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1780638478 (217) 528-7541

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.

JEREMY ELLIOTT
Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
BARBARA J. WOLFSON L.C.P.C.
Counselor
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
DR. THOMAS NEIL ROOKE M.D.
Anesthesiology
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
AMANDA L. HOUSE FNP-BC
Nurse Practitioner (Family)
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
DELORES A GALLO CRNA
Nurse Anesthetist, Certified Registered
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
MS. NICOLETA EMILENA SPEIL M.D.
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
BINOD KHATIWADA MD
Internal Medicine
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541
SUSAN STROW STEGEMAN M.D.
Ophthalmology
1025 S 6TH ST
SPRINGFIELD, IL 62703
Sangamon County (217) 528-7541

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.

Which organization bills Medicare for Brandon Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Smith reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). 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 Brandon 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 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 22 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.