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JUDITH SMITH
NPI 1063755767
Counselor - Mental Health in Manchester, CT

Active since April 01, 2013PECOS Enrolled
587 MIDDLE TPKE E, MANCHESTER, CT 06040(860) 646-3888(860) 645-4132 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Judith Smith NPPES

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

JUDITH SMITH (NPI 1063755767) is an individual mental health provider in Manchester, Connecticut and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063755767
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJUDITH SMITH
Location Address587 MIDDLE TPKE EManchester, CT 06040-3731
Mailing Address587 Middle Tpke EManchester, CT 06040-3731 · (860) 646-3888 · Fax (860) 645-4132
Phone(860) 646-3888
Fax(860) 645-4132
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 1, 2013
✔ NPI 1063755767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
587 MIDDLE TPKE E, Manchester, CT 06040
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Other Names 1

Former Name (1)Judith Marohl

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8628513785
PECOS Enrollment IDI20240712001675
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 Judith Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Change Counseling, LLC
19 mi
Clinical
750R MAIN ST
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 10 clinicians in this Medicare group
NPI 1780141465 (860) 833-2657

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.

SARAH PEREZ
Student in an Organized Health Care Education/Training Program
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
PAMELA MARIE GAY APRN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
PATTI MCNALLY
Counselor (Mental Health)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
JEREMY HALEK
Counselor
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
MRS. MICHELLE LOUTON VANDUINEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
AIMEE LAMELIN
Counselor (Mental Health)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
MR. DENNIS ROBERT KIRSCHE LCSW
Social Worker
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
JESSICA WAGGONER LCSW
Social Worker (Clinical)
587 MIDDLE TPKE E
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888

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 Judith Smith's NPI number?

The NPI number for Judith Smith is 1063755767. It was assigned to this individual provider in the NPPES registry on April 1, 2013. The provider is also known as Judith Marohl.

Where is Judith Smith located?

Judith Smith practices at 587 Middle Tpke E, Manchester, CT 06040. The listed phone number is (860) 646-3888.

What is Judith Smith's specialty?

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

Is Judith Smith enrolled in Medicare?

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

Which organization bills Medicare for Judith Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Smith reassigns Medicare benefits to Change Counseling, LLC (Willimantic, CT). 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 Judith Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Smith accept?

Health plans from Anthem Blue Cross and Blue Shield list Judith 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 Judith Smith was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.