Elbert Smith, LCMHC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16685 Issued in NC

Practice address

612 Chalcedony CT
Durham, NC 27703-2691

Phone

(919) 282-2409

NPI assigned

Jul 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1457924870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CHALCEDONY CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032691",
            "telephone_number": "919-282-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CHALCEDONY CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032691",
            "telephone_number": "919-282-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELBERT",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Mangum Smith, COTA/L
• Deidra Javeda Smith, LMFTA
• Diallo Alexander Smith, LMFTA
• Eboni Paige Smith
• Edward C. Smith, MD
• Elisabeth A Smith
• Elizabeth Thompson Smith, PA-C
• Ella Victoria Smith
• Eric Smith
• Eric Smith, MA

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.