Natisha Angienik Smith, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2585 Issued in NC

Practice address

108 W Fire Tower Rd
Suite F
Winterville, NC 28590-8371

Phone

(252) 752-5555

Fax

(252) 752-5455

NPI assigned

Feb 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1629342373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PLZ",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727386",
            "telephone_number": "910-521-2900",
            "fax_number": "910-775-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W FIRE TOWER RD",
            "address_2": "SUITE F",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908371",
            "telephone_number": "252-752-5555",
            "fax_number": "252-752-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATISHA",
        "middle_name": "ANGIENIK",
        "credential": "CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD",
            "identifier": "2585",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshall Craig Simpson, M.D.
• Skill Creations Inc
• Smeg Family Mental Health
• Sandra Doreen Smith-Kirby, AGNP
• Lawquara T Smith
• Tonya Ramona Smith, LCAS-A
• Solace Springs Counseling PLLC
• Yolanda Roshel Soney, LCSW
• Sparks
• Jennifer Spaugh, LAT, ATC

• Addiction (Substance Use Disorder) Counselor in Winterville, NC
• Providers in Winterville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.