Individual provider Active NPI

Rashada Camille Smith, LPC,NCC

  • Professional Counselor
  • Jacksonville, AL
National Provider Identifier
1699351247
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4361 Issued in AL
Practice address
1505 Pelham Rd S Ste 7
Jacksonville, AL 36265-3707
Phone
(256) 365-8686
Fax
(919) 590-1895
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4361 AL Primary

Addresses

Primary practice location

1505 Pelham Rd S Ste 7
Jacksonville, AL 36265-3707

Mailing address

1007 Alexandria Rd SW Lot 36
Jacksonville, AL 36265-3042
Phone (205) 835-3029

Other practice location 1

1007 Alexandria Rd SW Lot 36
Jacksonville, AL 36265-3042
Phone (256) 365-8686

Other identifiers 1

IdentifierTypeStateIssuer
261260MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 9, 2025 through May 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4361ALMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Camille's Counsolations LLC CurrentSince Mar 28, 2021 Accepting new patients
S.C.R.E.E.N.S. LLC CurrentSince Feb 27, 2022 Accepting new patients
Garrett Counseling and Consulting Professional Past Accepting new patients

Organizations & group practices 3

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1699351247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 ALEXANDRIA RD SW LOT 36",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653042",
            "telephone_number": "205-835-3029",
            "fax_number": "919-590-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 PELHAM RD S STE 7",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653707",
            "telephone_number": "256-365-8686",
            "fax_number": "919-590-1895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Alexandria Rd SW Lot 36",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AL",
            "postal_code": "362653042",
            "country_code": "US",
            "telephone_number": "256-365-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RASHADA",
        "middle_name": "CAMILLE",
        "credential": "LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261260",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.