Individual provider Active NPI

Tay-Lor A Smith, LPC

  • Professional Counselor
  • MC Lean, VA
National Provider Identifier
1003484908
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010577 Issued in VA
Practice address
1360 Beverly Rd Ste 200
MC Lean, VA 22101-3647
Phone
(410) 952-1308
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701010577 VA Primary

Addresses

Primary practice location

1360 Beverly Rd Ste 200
MC Lean, VA 22101-3647

Mailing address

1360 Beverly Rd Ste 200
MC Lean, VA 22101-3647
Phone (410) 952-1308

Other practice location 1

1593 Spring Hill Rd Ste 705
Vienna, VA 22182-2249
Phone (804) 207-6737

Other practice location 2

6 Moline Ct
Woodstock, MD 21163-1242
Phone (410) 952-1308

Other identifiers 1

IdentifierTypeStateIssuer
30015933990002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208002399 DC Practitioner - Mental Health Counselor 0446609937 Reassigns benefits to 1 organization
I20250326000086 VA Practitioner - Mental Health Counselor 0446609937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Hospice of Cincinnati Incorporated Past Accepting new patients

Locations

7051 Heathcote Village Way
Ste 115
Gainesville, VA 20155
Phone (571) 918-9239

1360 Beverly Rd
Ste 200
McLean, VA 22101
Phone (203) 246-9073

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

8614 Westwood Center Dr
Ste 710
Vienna, VA 22182
Phone (540) 393-8167

1593 Spring Hill Rd
Ste 705
Vienna, VA 22182
Phone (703) 844-3620

1593 Spring Hill Rd
Ste 750
Vienna, VA 22182
Phone (646) 457-9187

Interoperability endpoints

  • Direct secure messaging: granatogroup.taylorsmith@144557.advancedmd-direct.com
  • Direct secure messaging: tay-lor.smith.1@32853.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1003484908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BEVERLY RD STE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013647",
            "telephone_number": "410-952-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BEVERLY RD STE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013647",
            "telephone_number": "410-952-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1593 Spring Hill Rd Ste 705",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822249",
            "country_code": "US",
            "telephone_number": "804-207-6737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Moline Ct",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "MD",
            "postal_code": "211631242",
            "country_code": "US",
            "telephone_number": "410-952-1308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TAY-LOR",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015933990002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.