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

Mr. Brandon Michael Smith, LPC

Individual provider Counselor · NPI 1063230456

Mr. Brandon Michael Smith, LPC is a Mental Health Counselor in Springfield, Illinois. Qualified in 2024, 2 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1025 S 6th St
Springfield, IL 62703-2499
Phone: (217) 528-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178020431 (IL)
Counselor Taxonomy 101Y00000X · Licence 178.020431 (IL)

Record details

NPI number1063230456
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedOctober 2, 2024
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing addressPo Box 19248, Springfield, IL 62794-9248

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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