Individual provider Active NPI

Angela Lynn Smith, LPC

  • Professional Counselor
  • Calhoun, GA
National Provider Identifier
1407476773
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008021 Issued in GA
Practice address
109 N Wall St
Calhoun, GA 30701-2241
Phone
(706) 233-2806
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008021 GA Primary

Addresses

Primary practice location

109 N Wall St
Calhoun, GA 30701-2241

Mailing address

1304 Old Ringgold Rd
Ringgold, GA 30736-9026
Phone (706) 233-2806

Other names 1

  • Angela Lynn Smith Professional name

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

State licenses

LicenseStateTypeSpecialty
LPC008021GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Angela Smith LLC Professional CurrentSince Apr 1, 2020 Accepting new patients
Angela Smith PastSince Apr 1, 2020 Accepting new patients

Locations

109 N Wall St
Calhoun, GA 30701
Phone (706) 233-2806

109 John Maddox Dr NW
Ste 200
Rome, GA 30165
Phone (706) 232-6743

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1407476773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 OLD RINGGOLD RD",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307369026",
            "telephone_number": "706-233-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N WALL ST",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012241",
            "telephone_number": "706-233-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SMITH",
            "middle_name": "LYNN",
            "credential": "ANGELA SMITH LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.