Randolph Quin Smith, PROFESSIONAL COUNSEL

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007602 Issued in GA

Practice address

1640 Powers Ferry Rd SE Ste 200
Marietta, GA 30067-5491

Phone

(678) 568-9288

NPI assigned

Nov 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1023610482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 PACES FERRY CIR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803127",
            "telephone_number": "404-414-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "678-568-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RANDOLPH",
        "middle_name": "QUIN",
        "credential": "PROFESSIONAL COUNSEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randy@randysmithcounseling.com",
            "affiliation": "N",
            "address_1": "1640 Powers Ferry Rd SE Ste 200",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300675491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Marie Smith, DBA, PHIC, H.C.
• Mark Wood Smith, RPH
• Mary Smith, OTR/L, CHT
• Melissa Smith, PA-C
• Nikita Quin Smith, PHARMD
• Rebecca Anne Smith, ATC
• Rebekah Smith
• Renee Jodian Smith, NP
• Rhonda Lynn Smith, CRNA
• Samantha Stanfield Smith, PT, MHS

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.