Individual provider Active NPI

Rachael Giaccone Smith, LCAS, LCMHC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
National Provider Identifier
1376041020
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-22722 Issued in NC
Practice address
779 Ashfield Dr
Fayetteville, NC 28311-2005
Phone
(910) 273-9498
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 15203 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-22722 NC Primary

Addresses

Primary practice location

779 Ashfield Dr
Fayetteville, NC 28311-2005

Mailing address

779 Ashfield Dr
Fayetteville, NC 28311-2005
Phone (910) 273-9498

Other practice location 1

2212 Hope Mills Rd
Fayetteville, NC 28304-4228
Phone (910) 779-0454

Other names 1

  • Rachael Giaccone Former name

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
I20241106000327 NC Practitioner - Mental Health Counselor 0941734511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-22722NCMDAddiction (Substance Use Disorder) Counselor
15203NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rachael G Smith Counseling PLLC Mental Health CurrentSince Jun 15, 2024 Accepting new patients
Renew Counseling Center of NC LLC PastSince Jul 25, 2017 Accepting new patients

Locations

727 McGilvary St
Fayetteville, NC 28301
Phone (910) 323-2875

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1376041020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 ASHFIELD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112005",
            "telephone_number": "910-273-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 ASHFIELD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112005",
            "telephone_number": "910-273-9498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2212 Hope Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044228",
            "country_code": "US",
            "telephone_number": "910-779-0454",
            "fax_number": "910-491-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHAEL",
        "middle_name": "GIACCONE",
        "name_prefix": "Ms.",
        "credential": "LCAS, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15203",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-22722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "GIACCONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.