MICHAEL J SMITH JR. PHD
NPI 1871325209
Counselor - Mental Health in Coram, NY
About Michael J Smith Jr. Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL J SMITH JR. PHD (NPI 1871325209) is an individual mental health provider in Coram, New York, licensed in New York (002180) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (1988).
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 (PECOS)
Michael J Smith Jr. Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michael Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bethesda, MD 20814
- Reassigned Medicare billing, New York enrollment
- 43 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 Michael Smith's NPI number?
The NPI number for Michael Smith is 1871325209. It was assigned to this individual provider in the NPPES registry on August 15, 2024.
Where is Michael Smith located?
Michael Smith practices at 10 Cedar Ave, Coram, NY 11727. The listed phone number is (631) 807-0143.
What is Michael Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Michael Smith enrolled in Medicare?
Yes. Michael Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michael Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Smith reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). 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 Michael Smith'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 Michael Smith was last updated on September 4, 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.
# Michael J Smith Jr., PHD · NPI 1871325209
Mental Health provider in Coram, New York. Individual provider, active in the CMS NPPES registry since August 15, 2024.
## Identity
- **NPI:** 1871325209 (Entity type: Individual)
- **Enumerated:** August 15, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 002180 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10 CEDAR AVE, Coram, NY 11727-1103
- **Phone:** (631) 807-0143
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Uplift Behavioral Health PC (NPI 1629740410, Bethesda, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** September 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871325209) · Data from the CMS NPPES public registry.