Nataki Smith Ganzer, LCAS, LCMHC
Individual provider Active NPI Mental Health Counselor · Browns Summit, NC
NPI 1447748165 · NPPES record last updated Sep 9, 2026
Key facts
- NPI
- 1447748165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 16156 (NC)
- Practice address
- 805 Grentton PL Apt 2C
Browns Summit, NC 27214-8520 - Phone
- (336) 912-0063
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2261 Market St
San Francisco, CA 94114-1612
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260226003979 | NC | Practitioner - Mental Health Counselor | 7618458662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-24095 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| TPMC6789 | FL | MD | Mental Health Counselor |
| A16156 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical of New Jersey, P.C. | Current |
Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3349
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16156 | NC | Yes |
| Mental Health Counselor | 101YM0800X | TPMC6789 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-24095 | NC | |
| Mental Health Counselor | 101YM0800X | TLC3081PC | SC |
Addresses
Primary practice location
805 Grentton PL Apt 2C
Browns Summit, NC 27214-8520
Mailing address
805 Grentton PL Apt 2C
Browns Summit, NC 27214-8520
Phone (336) 912-0063
Other names
- Nataki Smith
Other providers in Browns Summit, NC
- Mary Beth Dixon
- Jerin D Elliott
- Enoch Consulting, LLC
- Erion Consulting LLC
- Errc Services
- Glade Point LLC
- Melanie Graves
- Green Light Services
- Ground 2 Sky Transportation LLC
- Lashaunda Michelle Hanna
All providers in Browns Summit, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.