Beverly R Smith, NCC, LCPC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC1057 Issued in MD

Practice address

7606 Georgian Dr
Upper Marlboro, MD 20772-4496

Phone

(301) 856-4057

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1689935744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 GEORGIAN DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724496",
            "telephone_number": "240-326-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 GEORGIAN DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724496",
            "telephone_number": "301-856-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BEVERLY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NCC, LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1057",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Theresa Small
• Tony Marcus Small
• Anne C Smith, OTR/L, CLT
• Ayaana Smith
• Benjamin Michael Smith, M.D.
• Bonita Smith, LCPC
• Camilla Sarah Smith, LICSW
• Diane Caryl Smith, PHARMD
• Donita Smith
• Elaine Melissa Smith, CRNP

• Professional Counselor in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.