Individual provider Active NPI

Debra R. Smart

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1285040279
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6841 Issued in SC
Practice address
652 Bush Road
Suite 216
Columbia, SC 29210
Phone
(615) 243-7468
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6841 SC Primary

Addresses

Primary practice location

652 Bush Road
Suite 216
Columbia, SC 29210

Mailing address

652 Bush River Rd Ste 216
Columbia, SC 29210-7537
Phone (615) 243-7468

Other practice location 1

1102 Dow St
Murfreesboro, TN 37130-2486
Phone (615) 904-7170

Other names 1

  • Mrs. Debra R. Smart Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240412002226 SC Practitioner - Mental Health Counselor 2668811472 Practice locations: Columbia, SC

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5816 Shakespeare Rd
Suite C
Columbia, SC 29223-7233
Phone (803) 269-4023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smartmove Counseling and Therapeutic Services Professional CurrentSince Sep 1, 2018 Accepting new patients
Lyons Heart Primary Care LLC PastSince May 1, 2022 Accepting new patients
Branches Recovery Center PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 3

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1285040279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 BUSH RIVER RD STE 216",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107537",
            "telephone_number": "615-243-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 BUSH ROAD",
            "address_2": "SUITE 216",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29210",
            "telephone_number": "615-243-7468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Dow St",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371302486",
            "country_code": "US",
            "telephone_number": "615-904-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMART",
        "first_name": "DEBRA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SMART",
            "middle_name": "R.",
            "prefix": "MRS.",
            "credential": "LPC-MHSP (TEMP.)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.