Sylvester R. Smith, MSRC; LPC, CRC, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8977 Issued in NC

Practice address

803 Taylor Ave
High Point, NC 27260-7369

Phone

(336) 689-3444

Fax

(336) 886-1421

NPI assigned

Jul 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Mindgate Behavioral Specialists

  • Addiction (Substance Use Disorder) Counselor
  • High Point, NC
  • NPI 1962932822
  NPD (past) Authorized official

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1063641397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 TAYLOR AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272607369",
            "telephone_number": "336-689-3444",
            "fax_number": "336-886-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 TAYLOR AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272607369",
            "telephone_number": "336-689-3444",
            "fax_number": "336-886-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYLVESTER",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MSRC; LPC, CRC, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8977",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NC",
            "license": "00112424",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NC",
            "license": "00112424",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8977",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA HEALTH CHOICE",
            "identifier": "6115154",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115154",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Reid Smith, FNP-C
• Patrick Michael Smith, PTA
• Rachael N Smith, LPC
• Reginald Drew Smith, CRNA
• Shannon Smith, PT
• Tracey Helms Smith, D.C
• Vanessa White Smith
• William George Smith Jr., M.D.
• Deborah Nance Smothers, FNP
• Valarie Snell

• Mental Health Counselor in High Point, NC
• Providers in High Point, 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 Mar 10, 2017; 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.