NICOLE SMITH
NPI 1316097538
Psychologist - Clinical in Logan, WV

Q: What is Nicole Smith's NPI number?

The NPI number for Nicole Smith is 1316097538. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Nicole Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Smith was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 11, 2007

RT. 10 THREE MILE CURVE, LOGAN, WV 25601(304) 792-7130(304) 792-7146 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Nicole Smith NPPES

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

NICOLE SMITH (NPI 1316097538) is an individual clinical provider in Logan, West Virginia, licensed in West Virginia (923) and active in the NPI registry since January 2007. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1316097538

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameNICOLE SMITH

Location AddressRT. 10 THREE MILE CURVELogan, WV 25601-9998

Mailing AddressPo Box 176Logan, WV 25601-0176 · (304) 792-7130 · Fax (304) 792-7146

Phone(304) 792-7130

Fax(304) 792-7146

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 1, 2010

✔ NPI 1316097538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WV · 923

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

RT. 10 THREE MILE CURVE, Logan, WV 25601

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Other Identifiers 4

Medicaid0005460001WV

Medicaid3810011604WV

Medicaid0005460000WV

Medicaid0005460002WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4284190224

PECOS Enrollment IDI20260729004187

Medicare Billing Reassignment

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

Aspire Occupational Rehabilitation

7.5 mi

Clinical

440 MAIN STREET
Chapmanville, WV 25508

Reassigned Medicare billing, West Virginia enrollment
4 clinicians in this Medicare group

NPI 1740521871 (304) 855-5886

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicole Smith's NPI number?

The NPI number for Nicole Smith is 1316097538. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Nicole Smith located?

Nicole Smith practices at Rt. 10 Three Mile Curve, Logan, WV 25601. The listed phone number is (304) 792-7130.

What is Nicole Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Smith enrolled in Medicare?

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

Which organization bills Medicare for Nicole Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Smith reassigns Medicare benefits to Aspire Occupational Rehabilitation (Chapmanville, WV). 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 Nicole Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Smith accept?

Health plans from CareSource list Nicole 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 Nicole Smith was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.