Active NPI
George Timothy Smith, LMFT
- Marriage & Family Therapist
- Wilmington, NC
National Provider Identifier
1467591321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 898
- Practice address
- 610 S College Rd
Wilmington, NC 28403-3202 - Phone
- (910) 799-1071
- Fax
- (910) 799-3313
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 898 | NC | |
| Professional Counselor | 101YP2500X | 898 | NC | |
| Marriage & Family Therapist | 106H00000X | 898 | NC | Primary |
| Pastoral Counselor | 101YP1600X | 898 | NC |
Addresses
Primary practice location
610 S College Rd
Wilmington, NC 28403-3202
Mailing address
610 S College Rd
Wilmington, NC 28403-3202
Phone (910) 799-1071
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198665 | Other | NC | MEDCOST |
| 198520 | Other | NC | MEDCOST |
| 6105105 | Medicaid | NC |
Other names 1
- Mr. Tim Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 898 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1467591321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033202",
"telephone_number": "910-799-1071",
"fax_number": "910-799-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284033202",
"telephone_number": "910-799-1071",
"fax_number": "910-799-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GEORGE",
"middle_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "898",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "898",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "898",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NC",
"license": "898",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "198665",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "198520",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105105",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIM",
"last_name": "SMITH",
"prefix": "MR.",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.