Active NPI
Brandy L Smith, LPC
- Professional Counselor
- Bluefield, VA
National Provider Identifier
1679994099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005666
- Practice address
- 19 Westwood Medical Park
Bluefield, VA 24605-2003 - Phone
- (276) 200-4233
- NPI assigned
- Jan 2, 2014
- Last updated
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005666 | VA | Primary |
Addresses
Primary practice location
19 Westwood Medical Park
Bluefield, VA 24605-2003
Mailing address
19 Westwood Medical Park
Bluefield, VA 24605-2003
Phone (276) 200-4233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19 Westwood Medical Park
Bluefield, VA 24605-2003
Phone (276) 200-4233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005666 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainwell Counseling, Inc. | Single Specialty | Current | Accepting new patients |
| Rebecca W Ewell LCSW PLLC | Single Specialty | Past | Accepting new patients |
Locations
19 Westwood Medical Park
Bluefield, VA 24605
Phone (276) 200-4233
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": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1679994099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WESTWOOD MEDICAL PARK",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246052003",
"telephone_number": "276-200-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WESTWOOD MEDICAL PARK",
"city": "BLUEFIELD",
"state": "VA",
"postal_code": "246052003",
"telephone_number": "276-200-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRANDY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluefield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.