Active NPI
Angelia Lynette Smiley, MA LPC
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1386746246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701003454
- Practice address
- 12584 Darby Brooke CT
Woodbridge, VA 22192-2485 - Phone
- (703) 490-9962
- Fax
- (703) 490-9964
- NPI assigned
- Sep 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701003454 | VA | Primary |
Addresses
Primary practice location
12584 Darby Brooke CT
Woodbridge, VA 22192-2485
Mailing address
12584 Darby Brooke CT
Woodbridge, VA 22192-2485
Phone (703) 490-9962
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177301 | Other | ANTHEM | |
| 238333 | Other | APS | |
| 530294 | Other | NCPPO | |
| 7418169 | Other | MAMSI | |
| 7418169 | Other | UNITED HEALTHCARE | |
| J2680001 | Other | CAREFIRST BCBS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003454 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386746246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12584 DARBY BROOKE CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922485",
"telephone_number": "703-490-9962",
"fax_number": "703-490-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12584 DARBY BROOKE CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221922485",
"telephone_number": "703-490-9962",
"fax_number": "703-490-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILEY",
"first_name": "ANGELIA",
"middle_name": "LYNETTE",
"name_prefix": "Ms.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701003454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "177301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "238333",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "530294",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "7418169",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "7418169",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "J2680001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.