Individual provider Active NPI

Lewis Everett Smith, LPC

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1427682947
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC384 Issued in DC
Practice address
1130 Varney St SE
Washington, DC 20032-4372
Phone
(202) 450-5822
Fax
(202) 918-9698
NPI assigned
Feb 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 PRC384 DC Primary

Addresses

Primary practice location

1130 Varney St SE
Washington, DC 20032-4372

Mailing address

1012 Dartford LN
Bowie, MD 20721-3234
Phone (301) 357-2862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421002985 DC Practitioner - Mental Health Counselor 5991271421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

601 Pennsylvania Ave NW
Suite 900
Washington, DC 20004-2601
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC384DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Truth, LLC Professional Current Accepting new patients
Truth, LLC PastSince Mar 1, 2020 Accepting new patients

Locations

1130 Varney St SE
Washington, DC 20032
Phone (202) 450-5822

Organizations & group practices 3

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1427682947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DARTFORD LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213234",
            "telephone_number": "301-357-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 VARNEY ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324372",
            "telephone_number": "202-450-5822",
            "fax_number": "202-918-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEWIS",
        "middle_name": "EVERETT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.