Individual provider Active NPI

Tobie Mabe-Smith

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1649623166
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A12287 Issued in NC
Practice address
520 E Hebron St Ste a-5
Charlotte, NC 28273-5989
Phone
(336) 209-5022
NPI assigned
Jul 20, 2016
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A12287 NC Primary

Addresses

Primary practice location

520 E Hebron St Ste a-5
Charlotte, NC 28273-5989

Mailing address

455 Robin Reed CT
Pineville, NC 28134-8852
Phone (336) 209-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240201004098 SC Practitioner - Mental Health Counselor 4880989292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oceanic Counseling Group LLCGroup PAC ID 4486067600, 42 clinicians

Practice addresses (Care Compare)

1304 Professional Dr
Suite E
Myrtle Beach, SC 29577-5712
Phone (843) 894-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A12287NCMDProfessional Counselor
7825SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanic Counseling Group LLC CurrentSince Jan 24, 2024 Accepting new patients
Oceanic Psychiatric Medicine PastSince Apr 6, 2023 Accepting new patients

Locations

11947 Grandhaven Dr
Ste N
Murrells Inlt, SC 29576
Phone (843) 652-4600

1304 Professional Dr
Ste E
Myrtle Beach, SC 29577

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1649623166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ROBIN REED CT",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348852",
            "telephone_number": "336-209-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E HEBRON ST STE A-5",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735989",
            "telephone_number": "336-209-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABE-SMITH",
        "first_name": "TOBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A12287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.