Individual provider Active NPI

Sherile Smith, LPC-S

  • Professional Counselor
  • Jefferson, LA
National Provider Identifier
1174696520
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
133507 Issued in IA
Practice address
508 Julius Ave Apt 118
Jefferson, LA 70121-1638
Phone
(985) 265-7117
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 2830 LA
Professional Counselor 101YP2500X 133507 IA Primary

Addresses

Primary practice location

508 Julius Ave Apt 118
Jefferson, LA 70121-1638

Mailing address

5171 Citrus Blvd Suite 2020 #118
Harahan, LA 70123
Phone (985) 265-7117

Other names 1

  • Sherile Smith Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20251001001191 LA Practitioner - Mental Health Counselor 5092211805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

814 SW Evangeline Trwy
Suite 344
Lafayette, LA 70501-8240
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133507IAMDProfessional Counselor
2830LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

814 SW Evangeline Trwy
Lafayette, LA 70501
Phone (337) 222-3707

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1174696520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 CITRUS BLVD SUITE 2020 #118",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "70123",
            "telephone_number": "985-265-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 JULIUS AVE APT 118",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211638",
            "telephone_number": "985-265-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHERILE",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2830",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IA",
            "license": "133507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERILE",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jefferson, LA

Sources for this page

Verify at the official NPI Registry.