MEDICARE: ISAAC MICHAEL SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	C.2608123	OH

General Provider Information

NPI Number	:	1871425892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISAAC MICHAEL SMITH

Provider Business Mailing Address
First Line	:	1151 BETHEL RD STE 302
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2775
Country	:	US
Telephone Number	:	614-406-0299
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 BETHEL RD STE 302
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2775
Country	:	US
Telephone Number	:	614-406-0299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ ISAAC MICHAEL SMITH ” Practice Location

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