Active NPI
Jana Reed Smith, LCAS
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
National Provider Identifier
1376271346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-28321
- Practice address
- 447 Billingsley Rd
Cottage a
Charlotte, NC 28211 - Phone
- (704) 444-2400
- NPI assigned
- Aug 9, 2022
- Last updated
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-28321 | NC | Primary |
| Mental Health Counselor | 101YM0800X | LCAS-28321 | NC |
Addresses
Primary practice location
447 Billingsley Rd
Cottage a
Charlotte, NC 28211
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025-2441
Phone (704) 786-6521
Other practice location 2
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025-2441
Phone (704) 786-6521
Other practice location 3
4949 Professional Park Dr
Ste 101
Kannapolis, NC 28081-8637
Phone (704) 938-6521
Other practice location 4
4949 Professional Park Dr
Ste 101
Kannapolis, NC 28081-8637
Phone (704) 938-6521
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jreed1039315@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-28321 | NC | MD | Mental Health Counselor |
Interoperability endpoints
- jreed1039315@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1376271346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 BILLINGSLEY RD",
"address_2": "COTTAGE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28211",
"telephone_number": "704-444-2400"
}
],
"practiceLocations": [
{
"address_1": "270 Copperfield Blvd NE",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252441",
"country_code": "US",
"telephone_number": "704-786-6521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "270 Copperfield Blvd NE",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252441",
"country_code": "US",
"telephone_number": "704-786-6521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4949 Professional Park Dr",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280818637",
"country_code": "US",
"telephone_number": "704-938-6521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4949 Professional Park Dr",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Kannapolis",
"state": "NC",
"postal_code": "280818637",
"country_code": "US",
"telephone_number": "704-938-6521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "JANA",
"middle_name": "REED",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2024-07-22",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-28321",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "LCAS-28321",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jreed1039315@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "447 Billingsley Rd",
"address_2": "Cottage A",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282111007",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.