ANTHONY JOHN SMITH – Addiction (Substance Use Disorder) Counselor, NPI 1275052706

ANTHONY JOHN SMITH is a healthcare provider. based in Toledo, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. E2303617 (OH). The NPI Number for ANTHONY JOHN SMITH is 1275052706

Main info

Male
Sole Proprietor
6 Years Of Experience
Name
ANTHONY JOHN SMITH
NPI
1275052706
Phone
(419) 841-7701
Address
2005 ASHLAND AVE
Enumeration Date
15 September 2017
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193188533
Graduation Year
2020 (6 years ago)
PAC ID
8325485154
Group Practice PAC ID
1254736853
Professional Enrollment ID
I20240328000827
Address ID
OH436061356TO3454XCTXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for ANTHONY JOHN SMITH

  • 2005, Ashland Avenue, Collingwood Springs, Toledo, Lucas County, Ohio, 43620, United States

    TOLEDO, OH 436201703

    Phone: (419) 841-7701

    Type: Mailing

  • 3454 OAK ALLEY CT STE 504

    TOLEDO, OH 436061356

    Phone: (419) 318-8533

    Fax: (888) 337-1307

    Type: Mailing

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: 2024-03-28

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
I20240328000827IMental Health CounselorOHTBD

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 43620)

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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: 1254736853View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Does ANTHONY JOHN SMITH have a public NPI I can cite?
Public records show ANTHONY JOHN SMITH under NPI 1275052706.
Does the public listing show ANTHONY JOHN SMITH as active?
ANTHONY JOHN SMITH's NPI record reflects an active status in NPPES.
What does the directory say ANTHONY JOHN SMITH does?
Insurance directories may phrase it differently, but here ANTHONY JOHN SMITH maps to Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Is ANTHONY JOHN SMITH tied to Toledo, Ohio?
If you are local to Toledo, Ohio, ANTHONY JOHN SMITH may be relevant to your search.
Who maintains ANTHONY JOHN SMITH's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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