Stacy Letrice Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.013511 Issued in IL

Practice address

72 Milton Ave SE Apt 3305
Atlanta, GA 30315-2347

Phone

(773) 544-8465

NPI assigned

Jun 12, 2023

Sex

Female

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1467136226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MILTON AVE SE APT 3305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152347",
            "telephone_number": "773-544-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MILTON AVE SE APT 3305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152347",
            "telephone_number": "773-544-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Milton Ave SE Apt 3305",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303152347",
            "country_code": "US",
            "telephone_number": "773-544-8465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "middle_name": "LETRICE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.013511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharron A. Smith, M.D.
• Sojurna Smith
• Somer Smith, PHARMD
• Soraya Smith
• Stacy Emery Smith, FNP-C
• Stacy M. Smith, RD,LD
• Stephen Christopher Smith
• Stephen W Smith, MD
• Steven Louis Smith, APRN
• Sulonda Smith, LPC

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.