Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Constance Sally Smith , LADC, LPCC

Counselor - Professional β€’ Eagan, MN

Active NPI 1063703221 Individual Practitioner Female Practitioner
Practice location in NPPES

1230 Eagan Industrial Rd, Suite 100
Eagan, MN 551211264

Call 6124542243 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

1230 Eagan Industrial Rd
Suite 100

Eagan, MN 551211264

Telephone 6124542243
Fax 6514542972

NPI first issued

2011

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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)

Constance 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 Constance 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 Eagan and Minnesota

27 active clinicians are listed under Counselor - Professional with a practice address in Eagan, MN (2,407 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eagan

7.4% of these 27 clinicians have the CMS telehealth indicator.

18.5% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

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

Self-certified to NPPES: 2026-05-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES MN 302730
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: Minnesota Board of Medical Practice.
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

I20240222001967

Enrollment State Jurisdiction

MN

PECOS Control ID

0143664730

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.

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location May 27, 2026

Registered at 1230 EAGAN INDUSTRIAL RD, SUITE 100, EAGAN, MN 551211264 (Tel: 6124542243)

πŸ“
Updated Business Mailing Address May 27, 2026

Registered at 5515 45TH AVE S, MINNEAPOLIS, MN 554172336 (Tel: 6057287343)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2026

Counselor

πŸ“
Updated Practice Location December 12, 2023

Registered at 2120 PARK AVE, MINNEAPOLIS, MN 554043378 (Tel: 6517740011)

πŸ“
Updated Business Mailing Address December 12, 2023

Registered at 3000 AMES CROSSING RD STE 600, EAGAN, MN 551212519 (Tel: 6517740011)

πŸ“
Updated Practice Location April 03, 2019

Registered at 317 YORK AVE, SAINT PAUL, MN 551304039 (Tel: 6122191890)

πŸ“
Updated Business Mailing Address April 03, 2019

Registered at 317 YORK AVE, SAINT PAUL, MN 551304039 (Tel: 6122191890)

πŸ‘€
Provider Name / Credentials Updated April 03, 2019

Recorded as CONSTANCE SMITH, LADC, LPCC

πŸ“
Updated Practice Location April 13, 2018

Registered at 2120 PARK AVE, MINNEAPOLIS, MN 554043378 (Tel: 6128722000)

πŸ“
Updated Business Mailing Address April 13, 2018

Registered at 2120 PARK AVE, MINNEAPOLIS, MN 554043378 (Tel: 6128722000)

βœ…
NPI Profile Active April 22, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 22, 2011

Registered at 1230 EAGAN INDUSTRIAL RD, SUITE 100, EAGAN, MN 551211264 (Tel: 6124542243)

πŸ“
Business Mailing Address (Initial Record) April 22, 2011

Registered at 1230 EAGAN INDUSTRIAL RD, SUITE 100, EAGAN, MN 551211264 (Tel: 6124542243)

πŸ‘€
Provider Name / Credentials (Initial Record) April 22, 2011

Recorded as CONSTANCE SMITH, LADC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2011

Counselor (license number reported to NPPES: MN 302730)

🟒
Initial NPI Registration & Enumeration April 22, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1063703221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2011
Last Update: May 27, 2026
Sole Proprietor: No

Mailing Address

5515 45th Ave S

Minneapolis, MN 554172336

Phone: 6057287343

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.