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MS. ANDREA PAMADORA SMYTH LMHC
NPI 1417772807
Counselor - Mental Health in Canastota, NY

Active since November 20, 2024PECOS EnrolledAccepts Medicare Assignment
124 OSWEGO AVE, CANASTOTA, NY 13032(315) 516-1303 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1417772807
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ANDREA PAMADORA SMYTHCredential: LMHC
Location Address124 OSWEGO AVECanastota, NY 13032-4272
Mailing Address124 Oswego AveCanastota, NY 13032-4272 · (315) 516-1303
Phone(315) 516-1303
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1417772807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 00717901
124 OSWEGO AVE, Canastota, NY 13032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1456880590
PECOS Enrollment IDI20250117003394
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.

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.

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 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.