Individual provider Active NPI

George Smiledge, LPC

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1689192510
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-10510 Issued in ID
Practice address
1838 N Valley Mills Dr Ste 6
Waco, TX 76710-2557
Phone
(254) 498-0730
Fax
(208) 216-7622
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-10510 ID Primary
Professional Counselor 101YP2500X 95566 TX

Addresses

Primary practice location

1838 N Valley Mills Dr Ste 6
Waco, TX 76710-2557

Mailing address

4504 Anlo Ave
Waco, TX 76710-4952
Phone (254) 498-0730

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCPC-10510IDMDProfessional Counselor
95566TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling, PLLC Mental Health CurrentSince Jan 26, 2022 Accepting new patients

Locations

1838 N Valley Mills Dr
Ste 6
Waco, TX 76710
Phone (254) 498-0730

Organizations & group practices 1

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1689192510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 ANLO AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104952",
            "telephone_number": "254-498-0730",
            "fax_number": "208-216-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 N VALLEY MILLS DR STE 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102557",
            "telephone_number": "254-498-0730",
            "fax_number": "208-216-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEDGE",
        "first_name": "GEORGE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-10510",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "95566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.