Constance Sally Smith, LADC, LPCC in Eagan, MN

Constance Sally Smith, LADC, LPCC is a medicare enrolled "Counselor - Professional" provider in Eagan, Minnesota. Her current practice location is 1230 Eagan Industrial Rd, Suite 100, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 454-2243.

Constance Sally Smith is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063703221.

Contact Information

	Constance Sally Smith, LADC, LPCC
	1230 Eagan Industrial Rd, Suite 100, Eagan, MN 55121-1264
	(612) 454-2243
	(651) 454-2972

Map and Direction

Healthcare Provider's Profile

Full Name	Constance Sally Smith
Gender	Female
Speciality	Counselor - Professional
Location	1230 Eagan Industrial Rd, Eagan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063703221
Provider Enumeration Date: 04/22/2011
Last Update Date: 05/27/2026

Medicare PECOS Information:

PECOS PAC ID: 0143664730
Enrollment ID: I20240222001967

Medical Identifiers

Medical identifiers for Constance Sally Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063703221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	302730 (Minnesota)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Constance Sally Smith allows following entities to bill medicare on her behalf.

Entity Name	People Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215104831 PECOS PAC ID: 7012043540 Enrollment ID: O20100409000071

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Constance Sally Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Constance Sally Smith, LADC, LPCC 5515 45th Ave S, Minneapolis, MN 55417-2336 Ph: (605) 728-7343	Constance Sally Smith, LADC, LPCC 1230 Eagan Industrial Rd, Suite 100, Eagan, MN 55121-1264 Ph: (612) 454-2243

Reviews and Comments

Counselor in Eagan, MN

Nicholas Plante, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2142 River Valley Ln, Eagan, MN 55122 Phone: 612-501-7897
Matthew Steven Carlson, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-644-8515
Patricia Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492
Nicholas Weidner, Counselor Medicare: Medicare Enrolled Practice Location: 860 Blue Gentian Rd Ste 200, Eagan, MN 55121 Phone: 651-315-5274
Mrs. Katherine Anne Blesener, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4660 Slater Rd Ste 145, Eagan, MN 55122 Phone: 651-440-9159 Fax: 651-371-3139
Katherine Ann Mcguire, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492
Taylor Paige Voeller, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1970

Constance Sally Smith, LADC, LPCC - Medicare Counselor in Eagan, MN