CHARLENE A SMITH
NPI 1609369743
Counselor - Mental Health in Orange Park, FL

Q: What is Charlene Smith's NPI number?

The NPI number for Charlene Smith is 1609369743. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Charlene Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charlene Smith was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 13, 2018PECOS EnrolledAccepts Medicare Assignment

358 STILES AVE, ORANGE PARK, FL 32073(904) 264-8311(904) 264-8377 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2019, Jun 13, 2018 (2 updates tracked since 2018).

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About Charlene A Smith NPPES

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

CHARLENE A SMITH (NPI 1609369743) is an individual mental health provider in Orange Park, Florida, licensed in Florida (15897) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1609369743

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCHARLENE A SMITH

Location Address358 STILES AVEOrange Park, FL 32073-4012

Mailing Address358 Stiles AveOrange Park, FL 32073-4012 · (904) 264-8311 · Fax (904) 264-8377

Phone(904) 264-8311

Fax(904) 264-8377

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJune 13, 2018

Last NPPES UpdateNovember 20, 20192 updates tracked since enumeration

✔ NPI 1609369743 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 FL · 15897

358 STILES AVE, Orange Park, FL 32073

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Charlene A Smith 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 ID6305389123

PECOS Enrollment IDI20241217002573

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

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

DR. DAWN KRISTINE FOX PSYD

Psychologist (Clinical)

358 STILES AVE, SUITE B
ORANGE PARK, FL 32073

Clay County (904) 264-8311

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 Charlene Smith's NPI number?

The NPI number for Charlene Smith is 1609369743. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Charlene Smith located?

Charlene Smith practices at 358 Stiles Ave, Orange Park, FL 32073. The listed phone number is (904) 264-8311.

What is Charlene Smith's specialty?

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

Is Charlene Smith enrolled in Medicare?

Yes. Charlene Smith 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.

What insurance does Charlene Smith accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Charlene 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 Charlene Smith was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.