Chaka P Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

207 Lyttleton Way
Anderson, SC 29621-1817

Phone

(864) 351-9434

NPI assigned

Jul 28, 2006

Last updated

Sep 24, 2012By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mainstream Therapeutic Services LLC

  • Community/Behavioral Health Agency
  • Anderson, SC
  • NPI 1700281797
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1265446777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LYTTLETON WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211817",
            "telephone_number": "864-351-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 LYTTLETON WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211817",
            "telephone_number": "864-351-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAKA",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Small, NP
• Kiera Smalls, COTA
• Smith Dental Care of South Carolina
• Alan Kenneth Smith, AU.D.
• Barbara Smith
• Cheryl Frate Smith, CACII
• Danielle C. Smith, SLP
• Emily Smith, COTA
• Hannah Lee Smith
• James Ronald Smith, D.D.S

• Mental Health Counselor in Anderson, SC
• Providers in Anderson, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.