Samantha Smith, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18389 Issued in NC

Practice address

118 Crocker Rd
Havelock, NC 28532-2226

Phone

(252) 652-6047

NPI assigned

Dec 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hurt and Healing Behavioral Health and Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Havelock, NC
  • NPI 1487304580
  NPD

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1023720919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 TIDEWATER DR",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285705565",
            "telephone_number": "678-644-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CROCKER RD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322226",
            "telephone_number": "252-652-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Service, FNP
• Michelle Siler
• Brooke Skidmore
• Kerry Smith, SLP
• Maegan Smith, DPT
• Matthew Robert Snow, MD
• Kourtnee Ann Nicole Stater, CERTIFIED BIRTHDOULA
• Hannah Steinholtz
• Leanne Stephens, COTA/L
• Deena Joelle Stern, LPT

• Mental Health Counselor in Havelock, NC
• Providers in Havelock, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.