Synthia Anna Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC12678 Issued in GA

Practice address

2355 Village Centre Dr
Loganville, GA 30052-8763

Phone

(678) 820-8494

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1215683412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 VILLAGE CENTRE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528763",
            "telephone_number": "678-820-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 VILLAGE CENTRE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528763",
            "telephone_number": "678-820-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SYNTHIA",
        "middle_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC12678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Apple Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2355 Village Centre Dr",
            "city": "Loganville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300528763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Shane Smith, MD
• Rebecca McCall Smith, MSOT, OTR/L
• Scott Wade Smith, DMD
• Shaneika Smith
• Shevonese Smith
• Teresa Gale Oldham Snider, NP
• Teresa Tonta Michelle Snow
• Isabelle D Snowden, PHARMACIST
• Roderick Snowden
• Sofia Care at Home

• Mental Health Counselor in Loganville, GA
• Providers in Loganville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.