Active NPI 1083089353 Individual Practitioner Male Practitioner

Dr. Michael V Smith , PhD

Counselor - Mental Health • Pendleton, IN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Smith, PhD is a registered healthcare professional specializing in Counselor - Mental Health in Pendleton, IN. Practice services are available at 8243 S RISING SUN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8243 S Rising Sun Dr

Pendleton, IN 460647526

Telephone 3176743277

Associated Practice Facility / Clinic

🏢 Ibis Counseling And Consulting Pc Facility NPI 1336929983

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Pendleton, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Pendleton, IN (5086 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-27

Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License IN 39004613A

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location July 27, 2023

Registered at 8243 S RISING SUN DR, PENDLETON, IN 460647526 (Tel: 3176743277)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2023

Counselor (License #39004613A in IN)

📍

Updated Practice Location September 02, 2022

Registered at 125 N SHORTRIDGE RD, INDIANAPOLIS, IN 462194908 (Tel: 3176743277)

📍

Updated Business Mailing Address September 02, 2022

Registered at 8243 S RISING SUN DR, PENDLETON, IN 460647526 (Tel: 0589043705)

👤

Provider Name / Credentials Updated September 02, 2022

Recorded as MICHAEL SMITH, PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2022

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active October 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2016

Registered at 1446 SPRING ST, SUITE 205, PASO ROBLES, CA 934462171 (Tel: 8053197957)

📍

Updated Business Mailing Address October 18, 2016

Registered at 6601 CAT CANYON RD, ARROYO GRANDE, CA 934209703 (Tel: 3178338207)

👤

Provider Name / Credentials Updated October 18, 2016

Recorded as MICHAEL SMITH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration December 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083089353

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 11, 2015

Last Update: July 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8243 S Rising Sun Dr

Pendleton, IN 460647526

Phone: 0589043705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.