Individual provider Active NPI

Cecilia Smith, LCMHC

  • Mental Health Counselor
  • Gastonia, NC
National Provider Identifier
1366942559
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13741 Issued in NC
Practice address
3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002
Phone
(704) 874-9005
NPI assigned
Feb 14, 2018
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A13741 NC
Mental Health Counselor 101YM0800X 13741 NC Primary

Addresses

Primary practice location

3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 730-7003

Other practice location 1

1942 E 7th St Ste 220
Charlotte, NC 28204-2418
Phone (704) 360-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131004592 NC Practitioner - Mental Health Counselor 5193178697 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A13741NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince May 5, 2025 Accepting new patients
Gaston Family Health Services, Inc CurrentSince May 5, 2025 Accepting new patients

Locations

3050 Riverwood Pkwy
Ste B
Gastonia, NC 28056
Phone (704) 865-1749

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

445 Earl Rd
Shelby, NC 28150
Phone (704) 284-7008

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1366942559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-730-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RIVERWOOD PKWY STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566002",
            "telephone_number": "704-874-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1942 E 7th St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042418",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "fax_number": "704-323-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CECILIA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13741",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.