Beverly Smith Moore, PHD, LPC, CCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003014 Issued in GA

Practice address

401 Westpark CT Ste 200
Peachtree City, GA 30269-3572

Phone

(678) 523-1715

NPI assigned

May 3, 2011

Last updated

Nov 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Bsmith Consulting Group, LLC

  • Community/Behavioral Health Agency
  • Newnan, GA
  • NPI 1871886432
  NPD (past)

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764460800000",
    "number": "1659663086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 DUKE DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302138302",
            "telephone_number": "678-523-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTPARK CT STE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693572",
            "telephone_number": "678-523-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH MOORE",
        "first_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2025-11-30",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "GA",
            "license": "LPC003014",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "LPC003014",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC003014",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "GA",
            "license": "LPC003014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003014",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "LPC003014",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003014",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "LPC003014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109153A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Sisselman, RD, LDN
• Skye Medical Solutions Group
• Skyeview Dental, LLC
• Solanne Small, APRN
• Smith Eye Associates, LLC (Eyexam of Peachtree City)
• Jody Smith
• Sandra Smith
• Titus Collin Smith, PT, DPT
• Victoria Anne Smith
• Harry Snapperman, M.D.

• Professional Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2025; 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.