Active NPI
Debra R. Smart
- Professional Counselor
- Columbia, SC
National Provider Identifier
1285040279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smartmove Counseling and Therapeutic Services | Professional | Current | Accepting new patients |
| Lyons Heart Primary Care LLC | Past | Accepting new patients | |
| Branches Recovery Center | Past | 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.
-
- Professional Counselor
- Columbia, SC
- NPI 1720554413
-
- Clinic/Center
- Columbia, SC
- NPI 1497490676
-
- Community/Behavioral Health Agency
- Murfreesboro, TN
- NPI 1801126107
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.