Nicole Smith, LPC
Individual provider Active NPI Counselor · New Market, VA
NPI 1619699097 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1619699097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 0701013447 (VA)
- Practice address
- 9481 John Sevier Rd
New Market, VA 22844-9640 - Phone
- (540) 860-0062
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lifebulb LLC
Practice addresses (Care Compare)
2340 Commonwealth Dr
Suite 101
Charlottesville, VA 22901-1634
Phone (732) 451-3895
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903000648 | VA | Practitioner - Mental Health Counselor | 9335688530 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701013447 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebulb LLC | Current |
Accepting new patients | |
| Life Enrichment Services, LLC | Current |
Accepting new patients | |
| Empowering Minds Therapy, PLLC | Current | Accepting new patients | |
| Thrive Counseling LLC | Past |
Accepting new patients |
Locations
505 Main St
Toms River, NJ 08753
Phone (732) 272-0127
6210 Old Franconia Rd
#A
Alexandria, VA 22310
Phone (703) 955-3703
2340 Commonwealth Dr
Ste 101
Charlottesville, VA 22901
Phone (732) 451-3895
316 S Main St
Woodstock, VA 22664
Phone (540) 908-8585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701013447 | VA | Yes |
Addresses
Primary practice location
9481 John Sevier Rd
New Market, VA 22844-9640
Mailing address
9481 John Sevier Rd
New Market, VA 22844-9640
Other practice location 1
495 Long Lane Dr
Mount Jackson, VA 22842-2466
Phone (540) 333-5926
Other providers in New Market, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.