Individual provider Active NPI

Luciana Smalls, NCE, MA, LPCA

  • Mental Health Counselor
  • Charleston, SC
National Provider Identifier
1164016002
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7090 Issued in SC
Practice address
4 Carriage LN Ste 405
Charleston, SC 29407-6024
Phone
(843) 974-5934
Fax
(843) 647-7768
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 7090 SC Primary

Addresses

Primary practice location

4 Carriage LN Ste 405
Charleston, SC 29407-6024

Mailing address

3858 Hottinger Ave
North Charleston, SC 29405-7021
Phone (843) 609-7089

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.justiceworksyouthcare.com/service-locations/south-carolina/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240110002786 SC Practitioner - Mental Health Counselor 4284085689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

215 E Bay St
Suite 404
Charleston, SC 29401-2637
Phone (843) 480-4034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7774SCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Justiceworks Behavioral Care PastSince Mar 4, 2021 Accepting new patients

Locations

215 E Bay St
Ste 404
Charleston, SC 29401
Phone (803) 403-0294

4975 Lacross Rd
Ste 351
North Charleston, SC 29406
Phone (800) 309-1159

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1164016002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3858 HOTTINGER AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057021",
            "telephone_number": "843-609-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARRIAGE LN STE 405",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076024",
            "telephone_number": "843-974-5934",
            "fax_number": "843-647-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "LUCIANA",
        "credential": "NCE, MA, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "7090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.justiceworksyouthcare.com/service-locations/south-carolina/",
            "affiliation": "N",
            "endpointDescription": "Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Carriage Ln Ste 405",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294076024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.