Individual provider Active NPI

Heather Smiling, LPCA

  • Mental Health Counselor
  • Pembroke, NC
National Provider Identifier
1225433576
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11131 Issued in NC
Practice address
773 Old Main Rd
Pembroke, NC 28372-8753
Phone
(910) 775-9201
Fax
(910) 521-8540
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A11131 NC
Mental Health Counselor 101YM0800X 11131 NC Primary

Addresses

Primary practice location

773 Old Main Rd
Pembroke, NC 28372-8753

Mailing address

PO Box 3605
Pembroke, NC 28372-3605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625001486 NC Practitioner - Mental Health Counselor 8527570506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pembroke Center for Wellness IncGroup PAC ID 0941343271, 2 clinicians

Practice addresses (Care Compare)

773 Old Main Rd
Pembroke, NC 28372-8753
Phone (910) 775-9201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A11131NCMDMental Health Counselor
11131NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pembroke Center for Wellness, Inc Mental Health CurrentSince Jun 2, 2025 Accepting new patients
Pembroke Center for Wellness, Inc PastSince Jun 2, 2025 Accepting new patients

Locations

773 Old Main Rd
Pembroke, NC 28372
Phone (910) 775-9201

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1225433576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3605",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283723605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 OLD MAIN RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728753",
            "telephone_number": "910-775-9201",
            "fax_number": "910-521-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILING",
        "first_name": "HEATHER",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A11131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.