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

Nicole Smith, MA, LPC

Individual provider Counselor · NPI 1639701667

Nicole Smith, MA, LPC is a Mental Health Counselor in Groton, Connecticut. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

404 Thames St Fl 3
Groton, CT 06340-3959
Phone: (860) 245-9240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37 S Broad St, Pawcatuck, CT 06379-7909 — (860) 437-4550

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5942 (CT)
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1639701667
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedFebruary 7, 2020
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address292 S Frontage Rd # 1042, New London, CT 06320-2641

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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