Active NPI
Emma Jackson Smith, NCC, LPC, LCPC
- Professional Counselor
- Nashville, TN
National Provider Identifier
1033577911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72052
- Practice address
- 2017 Creekland View Blvd
Nashville, TN 37207-3093 - Phone
- (973) 903-6863
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008031 | VA | |
| Professional Counselor | 101YP2500X | LC10930 | MD | |
| Professional Counselor | 101YP2500X | PRC15436 | DC | |
| Professional Counselor | 101YP2500X | 72052 | TX | Primary |
Addresses
Primary practice location
2017 Creekland View Blvd
Nashville, TN 37207-3093
Mailing address
2017 Creekland View Blvd
Nashville, TN 37207-3093
Phone (973) 903-6863
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
| License | State | Type | Specialty |
|---|---|---|---|
| PRC15436 | DC | MD | Professional Counselor |
| LC10930 | MD | MD | Professional Counselor |
| 72052 | TX | MD | Professional Counselor |
| 0701008031 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soliloquie LLC | Professional | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Nashville, TN
- NPI 1013776798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1033577911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 CREEKLAND VIEW BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372073093",
"telephone_number": "973-903-6863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 CREEKLAND VIEW BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372073093",
"telephone_number": "973-903-6863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EMMA",
"middle_name": "JACKSON",
"credential": "NCC, LPC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008031",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC10930",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC15436",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.