Charay Sharonda Smith, LCAS-A / ED.D./ MSA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS29000 Issued in NC

Practice address

1537 Stackhouse Dr
Fayetteville, NC 28314-6356

Phone

(910) 835-7006

NPI assigned

Apr 4, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Charay Sharonda Dupree Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Drug Free Moore County Inc.

  dba Moore ReCreations Recovery Centers

  • Counselor
  • Carthage, NC
  • NPI 1932894359
  NPD Authorized official

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1063117224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 STACKHOUSE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146356",
            "telephone_number": "910-835-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 STACKHOUSE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146356",
            "telephone_number": "910-835-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARAY",
        "middle_name": "SHARONDA",
        "name_prefix": "Dr.",
        "credential": "LCAS-A / ED.D./ MSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS29000",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@consultkineticcoach.com",
            "affiliation": "N",
            "endpointDescription": "Kinetic Coaching & Consulting LLC Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All available",
            "address_1": "1537 Stackhouse Dr",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283146356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARAY",
            "last_name": "DUPREE",
            "middle_name": "SHARONDA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caleb Warner Smith, PA-C
• Candace Smith
• Carl Smith, D.C.
• Cassidy Smith, PA-C
• Chantel Smith
• Chelsea Danielle Smith, MSW, LCSWA
• Christina Smith
• Christy Lee Smith, DO
• Debbie C Smith, FNP
• Deztiny Smith

• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.