Dimayquoaye A Smith, LCAS, GCDF, ICAADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

14447 Issued in NC

Practice address

501 N Lafayette St Ste B
Shelby, NC 28150-4477

Phone

(704) 284-9440

NPI assigned

Jul 20, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1194202317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BROOKHILL RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504602",
            "telephone_number": "704-284-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LAFAYETTE ST STE B",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504477",
            "telephone_number": "704-284-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 N Lafayette St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281505400",
            "country_code": "US",
            "telephone_number": "704-284-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIMAYQUOAYE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCAS, GCDF, ICAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20651",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "20651",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "14447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Small, NURSE
• Sierra Smart, PHARMD
• Allyson Lane Smith
• Bailey Smith, LCSW
• Brian D. Smith, M.D.
• Heather Marie Smith, PA
• Jennifer D Smith, DC, MSACN
• Jessica Bivins Smith, FNP
• Jordan Smith, LCMHC
• Joshua Smith

• Counselor in Shelby, NC
• Providers in Shelby, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.