Johanna E Smoot, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2225 Issued in MD

Practice address

9037 Shady Grove CT
Gaithersburg, MD 20877-1301

Phone

(301) 221-0483

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1376667071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BROADWOOD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208512112",
            "telephone_number": "301-838-9489",
            "fax_number": "301-838-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9037 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-221-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "JOHANNA",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "21BNJO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSED PROFFESSIONAL",
            "identifier": "LC2225",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD PRO",
            "identifier": "5572",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precious Kiesha Smith
• Reginald Orlanda Smith, BSN,RN, MBA,JD
• Sandra Galliani Smith, LCPC
• Tiffani Smithson, LCSW-C
• Maxine C Smolkin, LCSW-C
• Shanel Smtith
• Snapdragon Wellness
• Makiyala Snead
• Stuart R Snyder, DPM
• Thomas Snyder, LCPC

• Mental Health Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.