Individual provider Active NPI

Dayciaa C Smith, ED.D., LPC, NCC

  • Professional Counselor
  • Cordova, TN
National Provider Identifier
1629565783
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4169 Issued in TN
Practice address
1068 Darren Cir E
Cordova, TN 38018-1074
Phone
(901) 483-1908
NPI assigned
Apr 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 4169 TN
Professional Counselor 101YP2500X 4169 TN Primary

Addresses

Primary practice location

1068 Darren Cir E
Cordova, TN 38018-1074

Mailing address

1068 Darren Cir E
Cordova, TN 38018-1074
Phone (901) 483-1908

Other practice location 1

223 Dunbar Cave Rd Ste A
Clarksville, TN 37043-8831
Phone (931) 444-3219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229003806 TN Practitioner - Mental Health Counselor 9537419122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1310 E Main St
Chattanooga, TN 37404-4933
Phone (855) 284-7483

1750 Madison Ave
Suite 410
Memphis, TN 38104-6492
Phone (423) 777-6546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4169TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

1310 E Main St
Chattanooga, TN 37404

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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.

NPI Registry JSON

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

{
    "created_epoch": "1523750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1629565783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 DARREN CIR E",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380181074",
            "telephone_number": "901-483-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 DARREN CIR E",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380181074",
            "telephone_number": "901-483-1908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Dunbar Cave Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438831",
            "country_code": "US",
            "telephone_number": "931-444-3219",
            "fax_number": "931-444-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAYCIAA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TN",
            "license": "4169",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.