Wakisha Evelyn Smith Harvey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC005806 Issued in GA

Practice address

853 Battlecreek Rd
Jonesboro, GA 30236-1919

Phone

(770) 478-1099

NPI assigned

Jan 14, 2011

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 names 1

• Wakisha Evelyn Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Looking Forward Counseling & Mentoring Services, LLC.

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1528623170
  NPD (past)

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1396040887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FAIRMONT WAY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135429",
            "telephone_number": "770-964-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BATTLECREEK RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361919",
            "telephone_number": "770-478-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH HARVEY",
        "first_name": "WAKISHA",
        "middle_name": "EVELYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAKISHA",
            "last_name": "SMITH",
            "middle_name": "EVELYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lavoris Singleton
• Shannon C Skiba, DDS
• Skkppr Enterprises Inc
• Kedric Sledge, LCSW
• Smile Wit Confident, LLC
• Smith Transitional and Rehabilitation Services, Inc.
• Chanel Smith-Hopson
• Arzinya Smith
• Chaundrissa Morenike Smith, PHD
• Christine Lee Smith, PH.D.

• Professional Counselor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.