Shelina Faith Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC013274 Issued in GA

Practice address

15209 88TH Ave Apt 403
Jamaica, NY 11432-3756

Phone

(678) 230-6962

NPI assigned

Jul 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Ties Inc.

  • Community/Behavioral Health Agency
  • Sandy Springs, GA
  • NPI 1275753782
  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1518453901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 88TH AVE APT 403",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323756",
            "telephone_number": "678-230-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 88TH AVE APT 403",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323756",
            "telephone_number": "678-230-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963461",
            "country_code": "US",
            "telephone_number": "470-736-9595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Carpenter Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284933",
            "country_code": "US",
            "telephone_number": "678-460-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHELINA",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006850",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Sara Smith, RN,NP
• Patricia V Smith, NP
• Reaghan T Smith, LMHC
• Robert Henry Smith, MD
• Shakemia Smith
• Sobrina Smith
• Vontaye Smith, RN,PNP
• William Smith III
• Yolanda Smith
• Kelsey Snodgrass

• Professional Counselor in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.