Individual provider Active NPI

Jami Lou Smithson, MA

  • Professional Counselor
  • Glen Allen, VA
National Provider Identifier
1518626753
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0704012505 Issued in VA
Practice address
5230 Hickory Park Dr Ste a
Glen Allen, VA 23059-2628
Phone
(804) 322-9955
Fax
(804) 270-1088
NPI assigned
Dec 15, 2021
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 0704012505 VA Primary

Addresses

Primary practice location

5230 Hickory Park Dr Ste a
Glen Allen, VA 23059-2628

Mailing address

9762 W River Rd
Aylett, VA 23009-2731
Phone (804) 380-4652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250406000009 VA Practitioner - Mental Health Counselor 3274057757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0704012505VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Therapeutic Solutions, LLC CurrentSince Oct 24, 2024 Accepting new patients

Locations

8401 Mayland Dr
Ste S
Richmond, VA 23294
Phone (774) 473-8890

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1518626753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9762 W RIVER RD",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230092731",
            "telephone_number": "804-380-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 HICKORY PARK DR STE A",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230592628",
            "telephone_number": "804-322-9955",
            "fax_number": "804-270-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "JAMI",
        "middle_name": "LOU",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704012505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.