Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Smith

Individual provider Mental Health Counselor · NPI 1043618218

Amanda Smith is a Mental Health Counselor in Smithtown, New York. Qualified in 2012, 14 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2014
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Practice location Address checks out

496 Smithtown Byp Ste 304
Smithtown, NY 11787-5005
Phone: (631) 877-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6366 (NY)

Record details

NPI number1043618218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2014
Last updated in NPPESJanuary 16, 2017
Mailing address680 N Indiana Ave, Lindenhurst, NY 11757-2910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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