Delois Hunter Smith, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

971 Issued in AL

Practice address

Deep Waters Counseling and Consulting
4643 Camp Creek Lane
Orange Park, FL 32065-2666

Phone

(904) 375-1474

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1396510392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 CAMP CREEK LANE",
            "address_2": "4643 CAMP CREEK LANE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652666",
            "telephone_number": "904-375-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEEP WATERS COUNSELING AND CONSULTING",
            "address_2": "4643 CAMP CREEK LANE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652666",
            "telephone_number": "904-375-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DELOIS",
        "middle_name": "HUNTER",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "971",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atiya Smith-Wilson, PMHNP
• Amy Smith
• Charlene A Smith
• Dillon Smith, DO
• Jason Smith, MD
• Jessica Leigh Gleaton Smith, A.P., D.O.M.
• Kaitlyn L Smith, DPT
• Keiyuna Jikiara Smith

• Professional Counselor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.