Active NPI
Dorothy Firth Smith, MA, LPC
- Professional Counselor
- Johns Creek, GA
National Provider Identifier
1407360787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010893
- Practice address
- 10700 Medlock Bridge Rd Ste 101
Johns Creek, GA 30097-8455 - Phone
- (404) 383-8036
- Fax
- (404) 745-8565
- NPI assigned
- Nov 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67577 | TX | |
| Professional Counselor | 101YP2500X | LPC010893 | GA | Primary |
Addresses
Primary practice location
10700 Medlock Bridge Rd Ste 101
Johns Creek, GA 30097-8455
Mailing address
10700 Medlock Bridge Rd Ste 101
Johns Creek, GA 30097-8455
Phone (404) 383-8036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109001459 | GA | Practitioner - Mental Health Counselor | 2769833201 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67577 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Mental Health LLC | Current | Accepting new patients |
Locations
3010 Royal Blvd S
Ste 260
Alpharetta, GA 30022
Phone (404) 282-2305
10700 Medlock Bridge Rd
Ste 101
Johns Creek, GA 30097
Phone (404) 383-8036
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1407360787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MEDLOCK BRIDGE RD STE 101",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978455",
"telephone_number": "404-383-8036",
"fax_number": "404-745-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MEDLOCK BRIDGE RD STE 101",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978455",
"telephone_number": "404-383-8036",
"fax_number": "404-745-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DOROTHY",
"middle_name": "FIRTH",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-26",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67577",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.