Sade Smith Reid, PHD, LPC, NCC, BCTMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011603 Issued in VA

Practice address

10304 Eaton PL Ste 100
Fairfax, VA 22030-2221

Phone

(571) 407-2087

NPI assigned

Sep 1, 2022

Last updated

Apr 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sade Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Journey Counseling and Wellness,

  • Professional Counselor
  • Fairfax, VA
  • NPI 1326891771
  NPD Authorized official
• Playworks Counseling and Wellness

  • Community/Behavioral Health Agency
  • Fairfax, VA
  • NPI 1417643818
  NPD

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1437879053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302221",
            "telephone_number": "571-407-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302221",
            "telephone_number": "571-407-2087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8665 Sudley Rd Apt 321",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104588",
            "country_code": "US",
            "telephone_number": "404-386-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "SADE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC, BCTMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADE",
            "last_name": "SMITH",
            "prefix": "DR.",
            "credential": "PHD, LPC, NCC, BCTMH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas C. Rehor, ATC
• Florinda Reid, L.P.C.
• Jennifer Reid
• Krista Reid, PA-C
• Robert L Reid, M.D.
• Sara Yancey Reid, M.D.
• Megan Reilly, MA CCC-SLP
• Valerie Reilly, MS, CF-SLP
• Pamela Sharon Rein, MA
• Annette Reiner, ED.S., NCSP

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; 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.