Elizabeth Mae Smith, PLCSW QP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-2559 Issued in NC

Practice address

6257 Roberts Dr
La Grange, NC 28551-6805

Phone

(919) 709-6340

Fax

(252) 566-9440

NPI assigned

Aug 10, 2009

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• With a Purpose Family Care, Inc.

  dba With A Purpose Family Care 2 Woody

  • Mental Illness Community Based Residential Treatment Facility
  • Kinston, NC
  • NPI 1902152002
  Authorized official Same address or phone

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1295967271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6257 ROBERTS DR",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285516805",
            "telephone_number": "919-709-6340",
            "fax_number": "252-566-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6257 ROBERTS DR",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285516805",
            "telephone_number": "919-709-6340",
            "fax_number": "252-566-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "MAE",
        "credential": "PLCSW QP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadeedrah Pridgen, LCMHCA
• Marjorie R Rachide, FNP
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Laura W Shearer, RN, MSN
• Erich Waverly Smith, PA-C
• Jennifer Lynn Sparks, DPT
• Unc Physicians Network, LLC
• University of North Carolina Hospitals at Chapel Hill (UNC Health Complete Care)
• Uplift Diagnostic Services, LLC

• Addiction (Substance Use Disorder) Counselor in La Grange, NC
• Providers in La Grange, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.