Chester Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

608 Jackson St Ste B
Roanoke Rapids, NC 27870-2656

Phone

(252) 537-4005

NPI assigned

Nov 24, 2014

Sex

Male

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

Practice roles

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.

• Smiths Clinical Counseling PLLC

  • Counseling Psychologist
  • Raleigh, NC
  • NPI 1669185203
  NPD Authorized official

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1356748065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST STE B",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702656",
            "telephone_number": "252-537-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 JACKSON ST STE B",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702656",
            "telephone_number": "252-537-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHESTER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Antonio Shoulars, MS, MPA, LPCA, NCC
• Lawrence D Singer, M.D.
• Holly Skaggs
• Skill Creations Inc
• Smith Church Obstetrics & Gynecology, PC
• Christine E Smith, OTR/L
• Harris Jesse Smith, PA-C
• Princess Smith
• Douglas Hardy Snow, DO
• Soft Life Co

• All providers in Roanoke Rapids, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.