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

Nicole Johnson-Smith

Individual provider Mental Health Counselor · NPI 1548816374

Nicole Johnson-Smith is a Mental Health Counselor in Lagrange, Indiana. Qualified in 2016, 10 years ago. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2019
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Practice location Address checks out

2155 N State Road 9
Lagrange, IN 46761-8746
Phone: (260) 463-7144
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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 39003603A (IN)

Record details

NPI number1548816374
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESAugust 16, 2019
Mailing addressPo Box 191, Lagrange, IN 46761-0191

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lagrange