Michelle Dillon Smith, LPC, RPT-S, NCC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701006225 Issued in VA

Practice address

110 Vista Centre Dr Ste 18
Forest, VA 24551-2775

Phone

(434) 316-6023

NPI assigned

Nov 30, 2016

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

Other names 1

• Michelle Lynn Dillan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Christian Counseling Services

  • Mental Health Counselor
  • Forest, VA
  • NPI 1639202765
  NPD (past)

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1376086827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 MADDOX RD",
            "city": "GLADYS",
            "state": "VA",
            "postal_code": "245542427",
            "telephone_number": "757-880-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VISTA CENTRE DR STE 18",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512775",
            "telephone_number": "434-316-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "DILLON",
        "credential": "LPC, RPT-S, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DILLAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashton Christine Smith, MA, LPC, LMHP
• Corrie Smith, SLP
• David Middleton Smith, M.D.
• Jessica Smith, IBCLC
• Meredith Ryan Smith, M.A., LPC
• Joanie Smoot, PHARM.D.
• Alice Solademi-Dunkle
• Shannon A Soto, LPC
• Ashleigh Spencer
• Springwell Counseling & Support Services, Inc.

• Mental Health Counselor in Forest, VA
• Providers in Forest, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; 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.