Individual provider Active NPI

Angela Ray Smith, LPC

  • Mental Health Counselor
  • Newport News, VA
National Provider Identifier
1144528985
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004893 Issued in VA
Practice address
703 Thimble Shoals Blvd Ste a-3
Newport News, VA 23606-4536
Phone
(757) 596-7938
Fax
(757) 596-7939
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701004893 VA Primary

Addresses

Primary practice location

703 Thimble Shoals Blvd Ste a-3
Newport News, VA 23606-4536

Mailing address

703 Thimble Shoals Blvd Ste a-3
Newport News, VA 23606-4536
Phone (757) 596-7938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240411003239 VA Practitioner - Mental Health Counselor 3870932700 Practice locations: Newport News, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 Thimble Shoals Blvd
Suite 6
Newport News, VA 23606-2576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004893VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1144528985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE A-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064536",
            "telephone_number": "757-596-7938",
            "fax_number": "757-596-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 THIMBLE SHOALS BLVD STE A-3",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064536",
            "telephone_number": "757-596-7938",
            "fax_number": "757-596-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "RAY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.