Active NPI
Curtis O. Smith, LPC, MA
- Mental Health Counselor
- Kenansville, NC
National Provider Identifier
1306093554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6940
- Practice address
- 302 North Main Street, Suite 2
Kenansville, NC 28349-9091 - Phone
- (910) 296-6244
- NPI assigned
- Aug 19, 2008
- Last updated
- Aug 19, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6940 | NC | Primary |
Addresses
Primary practice location
302 North Main Street, Suite 2
Kenansville, NC 28349-9091
Mailing address
PO Box 1576
Roseboro, NC 28382-1576
Phone (910) 296-6244
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6940 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1306093554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1576",
"city": "ROSEBORO",
"state": "NC",
"postal_code": "283821576",
"telephone_number": "910-296-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 NORTH MAIN STREET, SUITE 2",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "283499091",
"telephone_number": "910-296-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CURTIS",
"middle_name": "O.",
"name_prefix": "Mr.",
"credential": "LPC, MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "6940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenansville, NC
- Kenna Faye Silance Lanier
- Andrew Warren Simpson, M.D.
- Skill Creations Inc
- Karen Smack, LMBT
- Candace Deann Smith, LPN
- SSC Kenansville Operating Company LLC (Kenansville Health and Rehabilitation Center)
- Stevens Healthcare Agency, Inc. (Sky Rizer's Family Center)
- Kelly Stone, LCSW
- Zachary Glenn Sutton
- Constance R Tambakis-Odom, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.