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AMANDA JEAN SMITH
NPI 1205575008
Counselor - Professional in Broomfield, CO

Active since May 31, 2022PECOS Enrolled
80 GARDEN CTR, BROOMFIELD, CO 80020(303) 335-0202 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Jun 11, 2022 (2 updates tracked since 2022).

About Amanda Jean Smith NPPES

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

AMANDA JEAN SMITH (NPI 1205575008) is an individual professional provider in Broomfield, Colorado, licensed in Colorado (LPCC.0020539) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205575008
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA JEAN SMITH
Location Address80 GARDEN CTRBroomfield, CO 80020-7087
Mailing Address80 Garden CtrBroomfield, CO 80020-7087 · (303) 335-0202
Phone(303) 335-0202
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 31, 2022
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1205575008 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 CO · LPCC.0020539
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0002474 (CO)
80 GARDEN CTR, Broomfield, CO 80020
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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 (PECOS)

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

PECOS PAC ID6507330396
PECOS Enrollment IDI20260702001152
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 Amanda Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amanda J Smith LLC
38 mi
Professional
178 STANLEY CIRCLE DIVE
Estes Park, CO 80517
  • Reassigned Medicare billing, Colorado enrollment
NPI 1326977893 (414) 430-3134

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.

DR. DEVERNE CLIFFORD LEHMAN D.C.
Chiropractor (Sports Physician)
80 GARDEN CTR, STE.300
BROOMFIELD, CO 80020
Broomfield County (303) 466-4848
CAITLIN ELIZABETH BURNS CCC-SLP
Speech-Language Pathologist
80 GARDEN CTR
BROOMFIELD, CO 80020
Broomfield County (303) 483-8235
COLUMBINE HAND THERAPY
Occupational Therapist (Hand)
80 GARDEN CTR, BLDG A, STE 104
BROOMFIELD, CO 80020
Broomfield County (720) 887-3637
AMANDA BREWER LPC
Counselor (Mental Health)
80 GARDEN CTR
BROOMFIELD, CO 80020
Broomfield County (303) 598-4256
JACQUELINE SCHAFER D.D.S
Dentist (General Practice)
80 GARDEN CTR, SUITE 33
BROOMFIELD, CO 80020
Broomfield County (303) 469-3344
CAIRN COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
80 GARDEN CTR
BROOMFIELD, CO 80020
Broomfield County (720) 515-0194
LIOR SHPIZER-DAUBE
Social Worker (Clinical)
80 GARDEN CTR
BROOMFIELD, CO 80020
Broomfield County (720) 378-6511
DR. BRUCE C WETMORE DDS
Dentist (Oral and Maxillofacial Surgery)
80 GARDEN CTR, SUITE 223
BROOMFIELD, CO 80020
Broomfield County (303) 465-2308

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 Amanda Smith's NPI number?

The NPI number for Amanda Smith is 1205575008. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Amanda Smith located?

Amanda Smith practices at 80 Garden Ctr, Broomfield, CO 80020. The listed phone number is (303) 335-0202.

What is Amanda Smith's specialty?

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

Is Amanda Smith enrolled in Medicare?

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

Which organization bills Medicare for Amanda Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Smith reassigns Medicare benefits to Amanda J Smith LLC (Estes Park, CO). 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 Amanda 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 Amanda Smith was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.