Caroline Wilcox Smith, LCPC,NCC,CAADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-003660 Issued in IL

Practice address

1613 Kummer CT
Geneva, IL 60134-2929

Phone

(630) 420-0074

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1285706978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 KUMMER CT",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342929",
            "telephone_number": "630-420-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 KUMMER CT",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342929",
            "telephone_number": "630-420-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLINE",
        "middle_name": "WILCOX",
        "name_prefix": "Mrs.",
        "credential": "LCPC,NCC,CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "18262",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-003660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacques Marc Slaiher, LCPC
• Nicholas Patrick Slattery, MD
• Laurie Rebecca Slavik, D.D.S.
• Cynthia Slocum, LCSW
• Michele I Slogoff, MD
• Catherine B Smith, COTA/L
• Erika Smith, OT
• Kelly Nicole Smith, LMFT
• Taylor Smith
• Jason Donald Snider, PT,DPT,ATC

• Mental Health Counselor in Geneva, IL
• Providers in Geneva, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.