Charles Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701011137 Issued in VA

Practice address

12 N Braddock St
Winchester, VA 22601-4120

Phone

(540) 686-6909

Fax

(540) 242-3385

NPI assigned

Jan 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 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Avalon Psychotherapy LLC

  • Clinical Social Worker
  • Winchester, VA
  • NPI 1457279127
  NPD (past)
• Roxanne Ostlund LPC PLCC

  • Professional Counselor
  • Winchester, VA
  • NPI 1326592742
  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1174274401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N BRADDOCK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014120",
            "telephone_number": "540-686-6910",
            "fax_number": "540-242-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N BRADDOCK ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226014120",
            "telephone_number": "540-686-6909",
            "fax_number": "540-242-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiles of Virginia Family Dental Center, PLLC
• Alyssa Smith
• Amanda Smith, PHARMD
• Buck Smith, PHARMD
• Carrie Elizabeth Smith, MA CCC-SLP CERT AVT
• Charles W Smith IV, D.D.S.
• Christina L Smith
• Douglas Lamont Smith, PHARM.D.
• Edward Paul Smith, MD
• Kaitlin Smith

• Mental Health Counselor in Winchester, VA
• Providers in Winchester, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.