Individual provider Active NPI

Jodie Dannielle Smetak, LPC/LCMHC

  • Professional Counselor
  • Belmont, NC
National Provider Identifier
1528128428
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5372 Issued in NC
Practice address
100 Glenway St Ste F
Belmont, NC 28012-3174
Phone
(704) 648-3420
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5372 NC Primary
Mental Health Counselor 101YM0800X 5372 NC

Addresses

Primary practice location

100 Glenway St Ste F
Belmont, NC 28012-3174

Mailing address

100 Glenway St Ste F
Belmont, NC 28012-3174
Phone (704) 648-3420

Other practice location 1

1010 E Garrison Blvd
Gastonia, NC 28054-4521
Phone (704) 868-8551

Other practice location 2

839 Majestic Ct Ste 6
Gastonia, NC 28054-5152
Phone (704) 648-3420

Other practice location 3

332 S York St
Gastonia, NC 28052-4052
Phone (704) 648-3420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 6, 2026 through Mar 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5372NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Wellness Solutions Counseling and Consulting PLLC Professional CurrentSince Apr 28, 2024 Accepting new patients

Locations

100 Glenway St
Ste F
Belmont, NC 28012
Phone (704) 648-3420

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1528128428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENWAY ST STE F",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123174",
            "telephone_number": "704-648-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENWAY ST STE F",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123174",
            "telephone_number": "704-648-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 E Garrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544521",
            "country_code": "US",
            "telephone_number": "704-868-8551",
            "fax_number": "704-868-8552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "839 Majestic Ct Ste 6",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280545152",
            "country_code": "US",
            "telephone_number": "704-648-3420",
            "fax_number": "704-396-6547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 S York St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280524052",
            "country_code": "US",
            "telephone_number": "704-648-3420",
            "fax_number": "704-396-6547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMETAK",
        "first_name": "JODIE",
        "middle_name": "DANNIELLE",
        "credential": "LPC/LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5372",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.