Individual provider Active NPI

Megan Lea Smiley, LPC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1003548629
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC014377 Issued in PA
Practice address
700 S 7TH St # 293
Philadelphia, PA 19147-2119
Phone
(856) 433-4184
Fax
(267) 603-8882
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701011152 VA
Mental Health Counselor 101YM0800X PC014377 PA Primary

Addresses

Primary practice location

700 S 7TH St # 293
Philadelphia, PA 19147-2119

Mailing address

700 S 7TH St # 293
Philadelphia, PA 19147-2119
Phone (856) 433-4184

Other practice location 1

1320 Richmond Rd # 1163
Williamsburg, VA 23185-2831
Phone (856) 433-4184

Other names 1

  • Megan Lea Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC014377PAMDMental Health Counselor
0701011152VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wishing Well Mental Health Services, LLC PastSince Jul 1, 2022 Accepting new patients
Queen Village Therapy Group Mental Health Past Accepting new patients
Wishing Well Counseling Center, PLLC Mental Health PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1003548629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 7TH ST # 293",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472119",
            "telephone_number": "856-433-4184",
            "fax_number": "267-603-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 7TH ST # 293",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472119",
            "telephone_number": "856-433-4184",
            "fax_number": "267-603-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Richmond Rd # 1163",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852831",
            "country_code": "US",
            "telephone_number": "856-433-4184",
            "fax_number": "267-603-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "MEGAN",
        "middle_name": "LEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011152",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC014377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "JOHNSON",
            "middle_name": "LEA",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.