Individual provider Active NPI

Laura Langley Smith, LPC, LPCS

  • Professional Counselor
  • Darlington, SC
National Provider Identifier
1124353404
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5073 Issued in SC
Practice address
105 Russell St.
Darlington, SC 29532-3309
Phone
(843) 624-8661
NPI assigned
Oct 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6448 SC
Professional Counselor 101YP2500X 5073 SC Primary

Addresses

Primary practice location

105 Russell St.
Darlington, SC 29532-3309

Mailing address

116 Oakview Dr
Darlington, SC 29532-2510
Phone (843) 616-1739

Other practice location 1

616 S Coit St
Florence, SC 29501-5223
Phone (843) 673-0054

Other identifiers 1

IdentifierTypeStateIssuer
PC1001MedicaidSC

Other names 1

  • Laura Kristen Langley Former name

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

LicenseStateTypeSpecialty
5073SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mallard Mental Wellness LLC Professional CurrentSince Feb 1, 2022 Accepting new patients

Locations

105 Russell St
Darlington, SC 29532
Phone (843) 624-8661

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.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1124353404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OAKVIEW DR",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295322510",
            "telephone_number": "843-616-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RUSSELL ST.",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323309",
            "telephone_number": "843-624-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 S Coit St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295015223",
            "country_code": "US",
            "telephone_number": "843-673-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAURA",
        "middle_name": "LANGLEY",
        "name_prefix": "Miss",
        "credential": "LPC, LPCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6448",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LANGLEY",
            "middle_name": "KRISTEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Darlington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.