Individual provider Active NPI

Patricia M Smith, LPC, CPCS

  • Professional Counselor
  • Gainesville, GA
National Provider Identifier
1689084295
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008614 Issued in GA
Practice address
3485 McEver Rd Ste 101
Gainesville, GA 30504-5542
Phone
(770) 758-4940
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC008614 GA
Professional Counselor 101YP2500X LPC008614 GA Primary

Addresses

Primary practice location

3485 McEver Rd Ste 101
Gainesville, GA 30504-5542

Mailing address

110 Whippoorwill PL
Athens, GA 30605-3442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountains Community Services Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Arc Counseling, LLC Mental Health CurrentSince Jan 12, 2025 Accepting new patients

Locations

150A Johnson St
Dahlonega, GA 30533
Phone (706) 864-6822

915 Interstate Ridge Dr
Gainesville, GA 30501
Phone (516) 493-2203

3485 McEver Rd
Ste 101
Gainesville, GA 30504
Phone (770) 758-4940

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1689084295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WHIPPOORWILL PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 MCEVER RD STE 101",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045542",
            "telephone_number": "770-758-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "LPC, CPCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008614",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.