Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Amber Daveline Smith , LMHC

Counselor - Professional β€’ Saint Cloud, FL

Active NPI 1013106749 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

3121 Innovation Dr Ste A
Saint Cloud, FL 347696501

Call 4079224390 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3121 Innovation Dr Ste A

Saint Cloud, FL 347696501

Telephone 4079224390
Fax 4074293977
Organization at the Same NPPES Address or Phone
Saint Cloud Family Counseling Center Facility NPI 1801228267

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Kissimmee, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Grow Healthcare Group Pa. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2005

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amber Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amber Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Cloud and Florida

2 active clinicians are listed under Counselor - Professional with a practice address in Saint Cloud, FL (869 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES FL MH9223
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20251210001573

Enrollment State Jurisdiction

UT

PECOS Control ID

8921444993

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Grow Healthcare Group Pa

66 E Flagler St, Miami, FL 331301807

Phone: 7862447711

Secondary Practice Locations

704 Gerneration Point

Kissimmee, FL 34744

Phone: 4075186936

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active December 19, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 19, 2017

Registered at 3121 INNOVATION DR STE A, SAINT CLOUD, FL 347696501 (Tel: 4079224390)

πŸ“
Updated Business Mailing Address December 19, 2017

Registered at 3121 INNOVATION DR STE A, SAINT CLOUD, FL 347696501 (Tel: 4079224390)

πŸ‘€
Provider Name / Credentials Updated December 19, 2017

Recorded as AMBER SMITH, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2017

Counselor (license number reported to NPPES: FL MH9223)

βœ…
NPI Profile Active September 01, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 01, 2011

Registered at 704 GERNERATION POINT, KISSIMMEE, FL 34744 (Tel: 4075186936)

πŸ“
Business Mailing Address (Initial Record) September 01, 2011

Registered at 601 W. MICHIGAN ST. MP 347, ORLANDO, FL 32805 (Tel: 4075186936)

πŸ‘€
Provider Name / Credentials (Initial Record) September 01, 2011

Recorded as AMBER DAVELINE, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2011

Counselor (license number reported to NPPES: FL MH9223)

🟒
Initial NPI Registration & Enumeration October 18, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1013106749
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2007
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

3121 Innovation Dr Ste A

Saint Cloud, FL 347696501

Phone: 4079224390

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.