Diana Haack Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7453 Issued in NC

Practice address

1145 Pineville Matthews Rd
Matthews, NC 28105-6518

Phone

(704) 849-0686

Fax

(704) 815-1972

NPI assigned

May 3, 2010

Sex

Female

Sole proprietor

No

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1194042903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 SILVERSMITH LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282700868",
            "telephone_number": "704-589-6633",
            "fax_number": "704-841-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 PINEVILLE MATTHEWS RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056518",
            "telephone_number": "704-849-0686",
            "fax_number": "704-815-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANA",
        "middle_name": "HAACK",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaire Marie Williams Smith, D.O.
• Boyce Lee Smith Jr., LCAS
• Brenna Smith, LCMHCA
• Cheryl Smith
• Deaven Smith
• James G Smith
• Lissa Smith
• Michael Smith, DC
• Michael T. Smith
• Rebecca Cauble Smith, LPTA

• Professional Counselor in Matthews, NC
• Providers in Matthews, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.