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CHANNEL SMITH
NPI 1184252017
Counselor in Elkhart, IN

Active since March 27, 2020
1809 VISSCHER DR, ELKHART, IN 46514(773) 491-5423 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Channel Smith NPPES

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

CHANNEL SMITH (NPI 1184252017) is an individual counselor in Elkhart, Indiana and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1184252017
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCHANNEL SMITH
Location Address1809 VISSCHER DRElkhart, IN 46514-6505
Mailing Address1809 Visscher DrElkhart, IN 46514-6505 · (773) 491-5423
Phone(773) 491-5423
Sole ProprietorNo
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
✔ NPI 1184252017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1809 VISSCHER DR, Elkhart, IN 46514
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Other Identifiers 1

Medicaid83-4511368IN

Other Providers at the Same Location NPPES

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

MR. MICHAEL NEEDHAM
Community Health Worker
1809 VISSCHER DR
ELKHART, IN 46514
Elkhart County (574) 336-6925

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 Channel Smith's NPI number?

The NPI number for Channel Smith is 1184252017. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Channel Smith located?

Channel Smith practices at 1809 Visscher Dr, Elkhart, IN 46514. The listed phone number is (773) 491-5423.

What is Channel Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Channel Smith was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.