Shelby Nicole Smith, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12459 Issued in SC

Practice address

700 Nexton Square Dr
Summerville, SC 29486-7915

Phone

(843) 647-3916

NPI assigned

Jul 29, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1174352264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 ALWYN BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294854091",
            "telephone_number": "706-832-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NEXTON SQUARE DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867915",
            "telephone_number": "843-647-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELBY",
        "middle_name": "NICOLE",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "12459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura McLaurin Smith, CCC-SLP
• Lindsay Bach Smith, M.S., CCC-SLP
• Lynn Thompson Smith, LPCA
• Mary Culbertson Smith
• Patricia Smith, MT
• Shonta Yvonne Smith, RN
• Ally Kiersten Knight Smoak, PA-C
• Kenny Snider, ATC
• Kristina Dawson Snipes, DMD
• Soaring Minds Evaluations and Support

• Professional Counselor in Summerville, SC
• Providers in Summerville, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.