Nicole Smith, MA, LPC in Groton, CT - Medicare Counselor Provider

Nicole Smith, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Groton, Connecticut. Her current practice location is 404 Thames St Fl 3, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 245-9240.

Nicole Smith is licensed to practice in Connecticut (license number 5942) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639701667.

Contact Information

	Nicole Smith, MA, LPC
	404 Thames St Fl 3, Groton, CT 06340-3959
	(860) 245-9240
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Smith
Gender	Female
Speciality	Counselor - Professional
Location	404 Thames St Fl 3, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639701667
Provider Enumeration Date: 02/07/2020
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 5092158683
Enrollment ID: I20240212000503

Medical Identifiers

Medical identifiers for Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639701667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	5942 (Connecticut)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Smith allows following entities to bill medicare on her behalf.

Entity Name	Child And Family Agency Of Southeastern Connecticut, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215393327 PECOS PAC ID: 2163756982 Enrollment ID: O20190628000228

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Smith, MA, LPC 292 S Frontage Rd # 1042, New London, CT 06320-2641 Ph: (860) 245-9240	Nicole Smith, MA, LPC 404 Thames St Fl 3, Groton, CT 06340-3959 Ph: (860) 245-9240

Reviews and Comments

Counselor in Groton, CT

Dr. Lisa Marie Tonnessen, PHD Counselor Medicare: Medicare Enrolled Practice Location: 616 Goldstar Hgwy, Shoreline Counseling, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Michael John Formica, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Ms. Susannah Jane Forte Stahr, MS, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 591 Poquonnock Rd, Groton, CT 06340 Phone: 860-449-8217 Fax: 860-449-8323
Dr. F. Henry Doran, D.MIN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Ms. Jessica M Gagnon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 428 Long Hill Rd Ste 201, Groton, CT 06340 Phone: 860-705-2840
Rachel Marie Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611a Long Hill Rd, Groton, CT 06340 Phone: 860-405-8097 Fax: 860-572-4986
Mrs. Nancy Vail Anstrom, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Goldstar Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954

Nicole Smith, MA, LPC - Medicare Counselor in Groton, CT