Individual provider Active NPI

Dwayne Eugene Smith, PH.D.

  • Professional Counselor
  • Dublin, OH
National Provider Identifier
1265699342
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0001621 Issued in OH
Practice address
6077 Frantz Rd
Suite 101
Dublin, OH 43017-3325
Phone
(614) 264-0052
Fax
(614) 588-0305
NPI assigned
May 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0001621 OH Primary
Marriage & Family Therapist 106H00000X F0500025 OH

Addresses

Primary practice location

6077 Frantz Rd
Suite 101
Dublin, OH 43017-3325

Mailing address

6077 Frantz Rd
Suite 101
Dublin, OH 43017-3325
Phone (614) 264-0052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E0001621OHMDProfessional Counselor
F0500025OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Counseling LLC Past Accepting new patients

Organizations & group practices 1

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": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1265699342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 FRANTZ RD",
            "address_2": "SUITE 101",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173325",
            "telephone_number": "614-264-0052",
            "fax_number": "614-588-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6077 FRANTZ RD",
            "address_2": "SUITE 101",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173325",
            "telephone_number": "614-264-0052",
            "fax_number": "614-588-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DWAYNE",
        "middle_name": "EUGENE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0001621",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F0500025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; 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.