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NICOLE JOHNSON-SMITH
NPI 1548816374
Counselor - Mental Health in Lagrange, IN

Active since August 16, 2019PECOS Enrolled
2155 N STATE ROAD 9, LAGRANGE, IN 46761(260) 463-7144 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Johnson-smith NPPES

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

NICOLE JOHNSON-SMITH (NPI 1548816374) is an individual mental health provider in Lagrange, Indiana, licensed in Indiana (39003603A) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1548816374
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE JOHNSON-SMITH
Location Address2155 N STATE ROAD 9Lagrange, IN 46761-8746
Mailing AddressPo Box 191Lagrange, IN 46761-0191
Phone(260) 463-7144
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2019
✔ NPI 1548816374 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 IN · 39003603A
2155 N STATE ROAD 9, Lagrange, IN 46761
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3072001874
PECOS Enrollment IDI20251023001345
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.

Other Providers at the Same Location NPPES 5

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

DENEISE WEYHMILLER MSW
Social Worker
2155 N STATE ROAD 9
LAGRANGE, IN 46761
Lagrange County (260) 463-7144
KELSIE DEEDS LCSW
Social Worker (Clinical)
2155 N STATE ROAD 9
LAGRANGE, IN 46761
Lagrange County (260) 463-7144
MARY SUSAN THUILLARD
Counselor
2155 N STATE ROAD 9
LAGRANGE, IN 46761
Lagrange County (260) 463-7144
KIMBERLY K LUCZKOWSKI MSW, LCSW
Social Worker (Clinical)
2155 N STATE ROAD 9
LAGRANGE, IN 46761
Lagrange County (260) 463-7144
KAITLIN S SHAFFER LMHC
Counselor (Mental Health)
2155 N STATE ROAD 9
LAGRANGE, IN 46761
Lagrange County (260) 463-7144

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 Johnson-smith's NPI number?

The NPI number for Nicole Johnson-smith is 1548816374. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Nicole Johnson-smith located?

Nicole Johnson-smith practices at 2155 N State Road 9, Lagrange, IN 46761. The listed phone number is (260) 463-7144.

What is Nicole Johnson-smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Johnson-smith enrolled in Medicare?

Yes. Nicole Johnson-smith is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Johnson-smith accept?

Health plans from CareSource list Nicole Johnson-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 Johnson-smith was last updated on August 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.