Active NPI
Ednesha Smith, LMSW
- Mental Health Counselor
- Lexington, MS
National Provider Identifier
1609279470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3955 Bell Bottom Rd
Lexington, MS 39095-8320 - Phone
- (601) 434-6226
- NPI assigned
- Oct 7, 2014
- Last updated
- Jul 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Social Worker | 104100000X | 114595-01 | NY |
Addresses
Primary practice location
3955 Bell Bottom Rd
Lexington, MS 39095-8320
Mailing address
3955 Bell Bottom Rd
Lexington, MS 39095-8320
Phone (601) 434-6226
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 |
|---|---|---|---|
| 114595-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1609279470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 BELL BOTTOM RD",
"city": "LEXINGTON",
"state": "MS",
"postal_code": "390958320",
"telephone_number": "601-434-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 BELL BOTTOM RD",
"city": "LEXINGTON",
"state": "MS",
"postal_code": "390958320",
"telephone_number": "601-434-6226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "EDNESHA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2023-07-10",
"certification_date": "2023-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "114595-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MS
- Russells Mr Discount Drugs
- Jason Spencer Rutledge, DNP, FNP-C
- Max Sanders
- Doris Plunkett Sanford
- Stacie Sizemore, RPH
- Mark Alan Smothers, M.D.
- Angela Parnell Spell, MS,CCC-SLP
- State of Mississippi - University of Mississippi Medical Center
- State of Mississippi - University of Mississippi Medical Center (Holmes County Hospital and Clinic)
- State of Mississippi - University of Mississippi Medical Center (Univ Hospital Holmes County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.