Wiley Livingston Smith, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17670 Issued in NC

Practice address

403 South Hawthorne Road
Winston Salem, NC 27157-5008

Phone

(336) 716-0855

NPI assigned

Aug 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carenet, Inc.

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1043424013
  Medicare reassignment Care Compare group NPD
• Carenet Inc

  • Professional Counselor
  • Winston Salem, NC
  • NPI 1376432492
  NPD
• Carenet, Inc

  • Professional Counselor
  • Lexington, NC
  • NPI 1659946804
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1245888676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 1ST ST STE 410",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044225",
            "telephone_number": "336-716-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SOUTH HAWTHORNE ROAD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271575008",
            "telephone_number": "336-716-0855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 Deerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286075008",
            "country_code": "US",
            "telephone_number": "828-262-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "813 Rivers St",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286080001",
            "country_code": "US",
            "telephone_number": "828-262-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILEY",
        "middle_name": "LIVINGSTON",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "17670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Earl Smith, MD
• Tracey Smith
• Tracy Anne Smith, APRN
• Treza Smith
• Weston Edward Smith
• William Benjamin Smith III, PA-C
• William Thomas Smith, M.D.
• Mary M Smoak, RD
• Alina Smoleva, MD
• Kimberly Kay Smoot, FNP

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.