Individual provider Active NPI

Brandy J Smith, LPC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1487940821
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006126 Issued in GA
Practice address
2801 N Decatur Rd Ste 185
Decatur, GA 30033-5924
Phone
(770) 490-0288
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006126 GA Primary

Addresses

Primary practice location

2801 N Decatur Rd Ste 185
Decatur, GA 30033-5924

Mailing address

PO Box 160093
Atlanta, GA 30316-1002
Phone (770) 490-0288

Other practice location 1

317 W Hill St Ste 204-A
Decatur, GA 30030-4367
Phone (770) 490-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 13, 2025 through Aug 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC006126GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avanti Counseling Services, Inc. Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1487940821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161002",
            "telephone_number": "770-490-0288",
            "fax_number": "678-819-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 185",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335924",
            "telephone_number": "770-490-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W Hill St Ste 204-A",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300304367",
            "country_code": "US",
            "telephone_number": "770-490-0288",
            "fax_number": "678-819-7522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDY",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.