Individual provider Active NPI

Julius Smith, LPC

  • Professional Counselor
  • Yorktown, VA
National Provider Identifier
1184175648
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007896 Issued in VA
Practice address
111 Pinewood Cres Apt E
Yorktown, VA 23693-5105
Phone
(757) 813-2313
NPI assigned
Oct 19, 2016
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 LPC.0013369 CO
Professional Counselor 101YP2500X 0701007896 VA Primary

Addresses

Primary practice location

111 Pinewood Cres Apt E
Yorktown, VA 23693-5105

Mailing address

111 Pinewood Cres Apt E
Yorktown, VA 23693-5105
Phone (757) 813-2313

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
I20240826002734 VA Practitioner - Mental Health Counselor 3375824808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Newport News Community Services BoardGroup PAC ID 0446247480, 26 clinicians

Practice addresses (Care Compare)

200 Medical Dr a
Hampton, VA 23666-1763
Phone (757) 788-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0013369COMDProfessional Counselor
0701007896VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Newport News Community Services Board CurrentSince Jun 2, 2024 Accepting new patients

Locations

200 Medical Dr
Hampton, VA 23666
Phone (757) 374-0869

200 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0200

300 Medical Dr
Hampton, VA 23666
Phone (757) 788-0092

300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092

600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1184175648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PINEWOOD CRES APT E",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935105",
            "telephone_number": "757-813-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PINEWOOD CRES APT E",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935105",
            "telephone_number": "757-813-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIUS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0013369",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.