Larry Dale Smith, LPCA – Mental Health Counselor

Key facts

NPI: 1689159196
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: A12783 (NC)
Practice address: 520 N Main St
Dobson, NC 27014-8767
Phone: (133) 638-6914
NPI assigned: Oct 1, 2018
Sex: Male
Sole proprietor: No

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.

Children'S Center of Surry, Inc Community/Behavioral Health Agency · Dobson, NC · NPI 1972011484

NPD
Foothills Behavioral Health Community/Behavioral Health Agency · Boonville, NC · NPI 1619659026

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
A12783	NC	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Children'S Center of Surry, Inc		Current since Feb 14, 2021	Accepting new patients
Foothills Behavioral Health		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	A12783	NC	Yes

Addresses

Primary practice location

520 N Main St
Dobson, NC 27014-8767

Mailing address

PO Box 692
Dobson, NC 27017-0692
Phone (336) 386-9144

Other providers in Dobson, NC

Zachary John Royall, PHARM.D.
Ryan Londry & David Modlin III DDS PLLC
Stephen Daniel Sasser, MD
Linda M Shuck, DO
Michael Gray Slate, LCMHC
Surry County Department of Social Services
Surry County Schools
David Randolph Swann, MA
Kristie Lynn Szarpa, ANP
The Adolphus Group, LLC

All providers in Dobson, NC · Mental Health Counselor in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.