Active NPI
Kimberly S Smith, LPC
- Mental Health Counselor
- Marion, NC
National Provider Identifier
1609270230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11010
- Practice address
- 361 N Main St
Marion, NC 28752-3729 - Phone
- (828) 652-5444
- Fax
- (828) 652-5837
- NPI assigned
- Oct 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11010 | NC | Primary |
Addresses
Primary practice location
361 N Main St
Marion, NC 28752-3729
Mailing address
617 S Green St
Suite 300
Morganton, NC 28655-3517
Phone (828) 437-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A11010 | Other | NC | LICENSE |
| 11010 | Other | NC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11010 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Caring Alternative, LLC | Past | Accepting new patients | |
| A Caring Alternative, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Marion, NC
- NPI 1023456803
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1740312297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1609270230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 S GREEN ST",
"address_2": "SUITE 300",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286553517",
"telephone_number": "828-437-3000",
"fax_number": "828-437-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 N MAIN ST",
"city": "MARION",
"state": "NC",
"postal_code": "287523729",
"telephone_number": "828-652-5444",
"fax_number": "828-652-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KIMBERLY",
"middle_name": "S",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "11010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A11010",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11010",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, NC
- Gregory Alan Simolke, M.D.
- Kenny Simpkins, MD
- Skillful Behaviors, Inc.
- Emma Lee Slater, LPCA
- Jennifer Nicole Smith, PA-C
- Kathleen Anne Smothers, RN,MSN,APN-BC
- Southmountain Children and Family Services
- Southmountain Children and Family Services
- Southmountain Children and Family Services
- Spirit of Truth Christian Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.