Elizabeth Moise Smith, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5100 Issued in SC

Practice address

500 N Main St
Suite 4
Summerville, SC 29483-6439

Phone

(843) 871-4790

Fax

(843) 871-8579

NPI assigned

Oct 26, 2010

Last updated

Oct 26, 2010By 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 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Moise Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1477853349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "address_2": "SUITE 4",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836439",
            "telephone_number": "843-871-4790",
            "fax_number": "843-871-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "address_2": "SUITE 4",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836439",
            "telephone_number": "843-871-4790",
            "fax_number": "843-871-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIZABETH",
        "middle_name": "MOISE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD16DO",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMITH",
            "middle_name": "MOISE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Ledere Miller Smiley, PA
• Brandy Elizabeth Smith Wright
• Alisa Kathleen Smith, LPC-A
• Andrew Bain Smith, M.D.
• David Paul Smith, M.D.
• Gaetanina Smith, BCBA
• Hunter Alexander Smith, M.D.
• Jeffrey Smith, CRNA
• Jennifer Lusetta Smith
• Jody Kay Smith, NP

• Mental Health Counselor in Summerville, SC
• Providers in Summerville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.