Active NPI
Gisela Smith, LCSWA
- Community/Behavioral Health Agency
- Raleigh, NC
National Provider Identifier
1295165124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- P007166
- Practice address
- 3125 Poplarwood CT Ste 304
Raleigh, NC 27604-6445 - Phone
- (919) 790-8580
- Fax
- (919) 954-7363
- NPI assigned
- Nov 13, 2013
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | P007166 | NC | Primary |
Addresses
Primary practice location
3125 Poplarwood CT Ste 304
Raleigh, NC 27604-6445
Mailing address
3125 Poplarwood CT Ste 304
Raleigh, NC 27604-6445
Phone (919) 790-8580
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P007166 | NC | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Family Centered Services | Community/Behavioral Health | 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.
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1942355102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1295165124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 POPLARWOOD CT STE 304",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276046445",
"telephone_number": "919-790-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 POPLARWOOD CT STE 304",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276046445",
"telephone_number": "919-790-8580",
"fax_number": "919-954-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GISELA",
"name_prefix": "Ms.",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "P007166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.