EMILY MARIE SMITH (MS, LCPC, NCC, CCTP) – Mental Health Counselor, NPI 1306310123

EMILY MARIE SMITH (MS, LCPC, NCC, CCTP) is a healthcare provider. based in Newton, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LCPC, NCC, CCTP. The NPI Number for EMILY MARIE SMITH (MS, LCPC, NCC, CCTP) is 1306310123

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
EMILY MARIE SMITH (MS, LCPC, NCC, CCTP)
NPI
1306310123
Phone
(618) 783-4154
Address
106 EDWARDS ST
Enumeration Date
15 January 2019
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6187834154
Graduation Year
2020 (6 years ago)
PAC ID
6901315407
Group Practice PAC ID
6901904796
Professional Enrollment ID
I20250605000966
Address ID
IL624481727NE910XXSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:7State licenses:0Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for EMILY MARIE SMITH (MS, LCPC, NCC, CCTP)

  • 106, Edwards Street, Newton, Jasper County, Illinois, 62448, United States

    NEWTON, IL 624481736

    Phone: (618) 783-4154

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250605000966IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62448)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901904796View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL

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Frequently asked questions

Is EMILY MARIE SMITH (MS, LCPC, NCC, CCTP) listed with a National Provider Identifier?
Yes — EMILY MARIE SMITH (MS, LCPC, NCC, CCTP) has NPI 1306310123 on file in the registry.
Is there an active status for EMILY MARIE SMITH (MS, LCPC, NCC, CCTP)?
For scheduling context, EMILY MARIE SMITH (MS, LCPC, NCC, CCTP) is shown as active in the registry.
What area of care is associated with EMILY MARIE SMITH (MS, LCPC, NCC, CCTP)?
EMILY MARIE SMITH (MS, LCPC, NCC, CCTP)'s record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with EMILY MARIE SMITH (MS, LCPC, NCC, CCTP)?
Directory geography for EMILY MARIE SMITH (MS, LCPC, NCC, CCTP) centers on Newton, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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