Kimbley Gay Smith, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3676 Issued in SC

Practice address

104 S Calhoun St
Greenville, SC 29601-4042

Phone

(864) 283-0637

Fax

(864) 283-0638

NPI assigned

Jun 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Carolina Family Services

  • Community/Behavioral Health Agency
  • Greenville, SC
  • NPI 1972821288
  NPD (past)
• Carolina Family Services of Greenville LLC

  • Community/Behavioral Health Agency
  • Greenville, SC
  • NPI 1073761870
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1386965291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W BELVUE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296091704",
            "telephone_number": "864-360-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S CALHOUN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014042",
            "telephone_number": "864-283-0637",
            "fax_number": "864-283-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIMBLEY",
        "middle_name": "GAY",
        "name_prefix": "Miss",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "3676",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keenan Webster Smith, DMD
• Kelsey Anne Smith, MD
• Kenneth Perry Smith, LPC
• Kimberly Anderson Smith, RN
• Kimberly Ann Smith, CSFA
• Lamesha Rontae Smith, LMSW
• Laura Leigh Smith, CRNA
• Lauren Beth Smith
• Liana N Smith, FNP
• Lindsay Gregory Smith, PMHNP-BC

• Mental Health Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.