MS. ANDREA PAMADORA SMYTH LMHC
NPI 1417772807
Counselor - Mental Health in Canastota, NY
About Ms. Andrea Pamadora Smyth Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANDREA PAMADORA SMYTH LMHC (NPI 1417772807) is an individual mental health provider in Canastota, New York, licensed in New York (00717901) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Andrea Pamadora Smyth Lmhc 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrea Smyth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 156 clinicians in this Medicare group
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 Andrea Smyth's NPI number?
The NPI number for Andrea Smyth is 1417772807. It was assigned to this individual provider in the NPPES registry on November 20, 2024.
Where is Andrea Smyth located?
Andrea Smyth practices at 124 Oswego Ave, Canastota, NY 13032. The listed phone number is (315) 516-1303.
What is Andrea Smyth's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Andrea Smyth enrolled in Medicare?
Yes. Andrea Smyth 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 Andrea Smyth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Smyth reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). 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 Andrea Smyth'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 Andrea Smyth was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Ms. Andrea Pamadora Smyth, LMHC · NPI 1417772807
Mental Health provider in Canastota, New York. Individual provider, active in the CMS NPPES registry since November 20, 2024.
## Identity
- **NPI:** 1417772807 (Entity type: Individual)
- **Enumerated:** November 20, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 00717901 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 124 OSWEGO AVE, Canastota, NY 13032-4272
- **Phone:** (315) 516-1303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Liberty Resources Inc. (NPI 1447821376, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417772807) · Data from the CMS NPPES public registry.