Emily Todd Smith, LCMHC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S3674 Issued in NC

Practice address

195 W Illinois Ave
Southern Pines, NC 28387-5808

Phone

(910) 692-2444

Fax

(910) 692-3651

NPI assigned

Nov 30, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sandhills Pediatrics

  • Pediatrics Physician
  • Southern Pines, NC
  • NPI 1114998150
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1205904166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W ILLINOIS AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875808",
            "telephone_number": "910-692-2444",
            "fax_number": "910-692-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W ILLINOIS AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875808",
            "telephone_number": "910-692-2444",
            "fax_number": "910-692-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 NC 65",
            "address_purpose": "LOCATION",
            "city": "Wentworth",
            "state": "NC",
            "postal_code": "273750355",
            "country_code": "US",
            "telephone_number": "336-342-8316 x3335",
            "fax_number": "336-342-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "middle_name": "TODD",
        "credential": "LCMHC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S3674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103172",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Skelly, LMFTA
• Erin Skinner, RD
• Emily Y Sloan, SPEECH LANGUAGE PATH
• Olivia Small
• Danielle Roject Smith
• Martha Michelle Smith, PTA
• Mary Christine Smith, LCSW-A
• Mikiya Smith
• Renee Smith, M.S., CCC-SLP
• Tammie Bondurant Smith, COTA

• Mental Health Counselor in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.