NICOLE SMITH MA, LPC
NPI 1639701667
Counselor - Professional in Groton, CT

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment
404 THAMES ST FL 3, GROTON, CT 06340(860) 245-9240 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2024, Apr 12, 2024, Feb 16, 2023 and 1 more (4 updates tracked since 2020).

About Nicole Smith Ma, Lpc NPPES

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

NICOLE SMITH MA, LPC (NPI 1639701667) is an individual professional provider in Groton, Connecticut, licensed in Connecticut (5942) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pawcatuck, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639701667
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE SMITHCredential: MA, LPC
Location Address404 THAMES ST FL 3Groton, CT 06340-3959
Mailing Address292 S Frontage Rd # 1042New London, CT 06320-2641 · (860) 245-9240 · Fax (860) 650-1125
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 7, 2020
Last NPPES UpdateApril 24, 20244 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1639701667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 5942
Also ListedCounselorTaxonomy 101Y00000X
404 THAMES ST FL 3, Groton, CT 06340

Other Names 1

Former Name (1)Nicole Blanchet

Secondary Practice Location 1

Location 137 S Broad StPawcatuck, CT 06379-7909 · Phone (860) 437-4550 · Fax (860) 661-4262

Accepted 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

Nicole Smith Ma, Lpc 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 ID5092158683
PECOS Enrollment IDI20240212000503
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.

Counselor (Professional)
404 THAMES ST FL 3
GROTON, CT 06340

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 1639701667. It was assigned to this individual provider in the NPPES registry on February 7, 2020. The provider is also known as Nicole Blanchet.

Where is Nicole Smith located?

Nicole Smith practices at 404 Thames St Fl 3, Groton, CT 06340. The listed phone number is (860) 245-9240.

What is Nicole Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Smith enrolled in Medicare?

Yes. Nicole 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 Nicole Smith accept?

Health plans from Providence Health Plan 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 April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.