Judith Tessa Smith, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001868 Issued in GA

Practice address

3045 Scarlett St
Brunswick, GA 31520-1251

Phone

(912) 554-8500

NPI assigned

Mar 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gateway Behavioral Health Services

  • Community/Behavioral Health Agency
  • Brunswick, GA
  • NPI 1558595983
  NPD (past)

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1700028446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 CYPRESS MILL RD",
            "address_2": "SUITE 102",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202878",
            "telephone_number": "912-554-8542",
            "fax_number": "912-264-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 SCARLETT ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201251",
            "telephone_number": "912-554-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUDITH",
        "middle_name": "TESSA",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "001868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D Shei Smith, LPN
• Donna Sue Smith, BSN, RN
• Hashondra Jernigan Smith, LIFE COACH
• James Edwin Smith Jr., R.PH.
• Jeffry Michael Smith, D.C.
• Robert Smith, D.D.S.
• Sharon Gulledge Smith, RN
• Thomas Iverson Smith, D.M.D.
• Trek Robert Smith, DC
• Colleen Snow, LCSW

• Mental Health Counselor in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.