Demetrius Rashad Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC015244 Issued in GA

Practice address

2801 Buford Hwy NE Ste 100
Brookhaven, GA 30329-2146

Phone

(678) 820-7830

Fax

(678) 373-0339

NPI assigned

Oct 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Professional

  Medicare reassignment Care Compare group NPD
• ICU Counseling and Mental Health Support Services, LLC

  • Community/Behavioral Health Agency
  • Mobile, AL
  • NPI 1760051825
  NPD Authorized official
• ICU Support Services, LLC

  • Community/Behavioral Health Agency
  • Mobile, AL
  • NPI 1841154275
  NPD Authorized official

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1114643400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ESPLANADE AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366065057",
            "telephone_number": "251-545-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE 100",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292146",
            "telephone_number": "678-820-7830",
            "fax_number": "678-373-0339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 Moffett Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366071713",
            "country_code": "US",
            "telephone_number": "251-423-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEMETRIUS",
        "middle_name": "RASHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04633",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Sircy, DMD
• Tanay Siwingwa
• Brandon T Smith, MD
• Caroline Tweedy Smith
• Christopher Lawrence Smith, BS
• Emma Caroline Smith, PA-C
• Joycyln Smith, RBT
• Kendra Smith
• Maleka Smith, RBT
• Simone Sobel, LCSW

• Professional Counselor in Brookhaven, GA
• Providers in Brookhaven, 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 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.