JULIE SMITH – Professional Counselor, NPI 1306250691

JULIE SMITH is a healthcare provider. based in Fridley, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. CC00791 (MN). The NPI Number for JULIE SMITH is 1306250691

Main info

Female
19 Years Of Experience
Name
JULIE SMITH
NPI
1306250691
Phone
(763) 780-3036
Address
7954 University Ave NE
Enumeration Date
16 June 2014
Last Update Date
9 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2184640908
Graduation Year
2007 (19 years ago)
PAC ID
2961848965
Group Practice PAC ID
1951658152
Professional Enrollment ID
I20240313001036
Address ID
MN558112979HE4135XAVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for JULIE SMITH

  • 7954 University Ave NE

    Fridley, MN 554321860

    Phone: (763) 780-3036

    Type: Location

  • 299 Coon Rapids Blvd NW Ste 110

    Coon Rapids, MN 554335869

    Phone: (612) 361-2963

    Fax: (612) 444-8182

    Type: Location

  • 7954 UNIVERSITY AVE NE

    FRIDLEY, MN 554321860

    Phone: (763) 780-3036

    Type: Mailing

  • 1784 LACROSSE AVE

    SAINT PAUL, MN 55119

    Phone: (651) 645-9424

    Type: Location

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: 2026-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240313001036IMental Health CounselorMNTBD
I20260115002149IMental Health CounselorARTBD

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 55432)

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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: 1951658152View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
-MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for JULIE SMITH?
JULIE SMITH — NPI 1306250691 — is the standard way to identify this listing.
Is JULIE SMITH still practicing?
JULIE SMITH is currently listed as active in the public NPI registry.
What is JULIE SMITH's primary classification?
Professional Counselor is the headline specialty for JULIE SMITH here. Clinical services aligned with this taxonomy classification.
Where is JULIE SMITH based?
JULIE SMITH is tied to Fridley, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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