Active NPI
Scott Alan Smith, M.A., LPC, LCAS
- Professional Counselor
- Albemarle, NC
National Provider Identifier
1205189958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9795
- Practice address
- 1000 N 1St St
Suite 1
Albemarle, NC 28001-2833 - Phone
- (704) 983-2117
- Fax
- (704) 983-2636
- NPI assigned
- Oct 18, 2012
- Last updated
- May 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16227 | NC | |
| Professional Counselor | 101YP2500X | 9795 | NC | Primary |
Addresses
Primary practice location
1000 N 1St St
Suite 1
Albemarle, NC 28001-2833
Mailing address
284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Phone (704) 939-1100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205189958 | Other | NC | UNITED HEALTHCARE |
| 1205189958 | Other | NC | HUMANA |
| 1205189958 | Other | NC | MAGELLAN |
| 1205189958 | Medicaid | NC | |
| 1205189958 | Other | NC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9795 | NC | MD | Professional Counselor |
| 16227 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1205189958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251831",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 1ST ST",
"address_2": "SUITE 1",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280012833",
"telephone_number": "704-983-2117",
"fax_number": "704-983-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SCOTT",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "M.A., LPC, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "16227",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1205189958",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1205189958",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "1205189958",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205189958",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1205189958",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.