Judith Smithchild, LPCC-S, LICDC-S, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.000224-SUPV Issued in OH

Practice address

17 Blue Line Dr
Athens, OH 45701-2325

Phone

(740) 592-5689

Fax

(740) 593-7166

NPI assigned

Jan 9, 2009

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1710124938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SANDHILL RD",
            "address_2": "(FORMER RENO SCHOOL)",
            "city": "RENO",
            "state": "OH",
            "postal_code": "457738005",
            "telephone_number": "740-592-5689",
            "fax_number": "740-593-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BLUE LINE DR",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012325",
            "telephone_number": "740-592-5689",
            "fax_number": "740-593-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHCHILD",
        "first_name": "JUDITH",
        "credential": "LPCC-S, LICDC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "90469",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.000224-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somer Smith
• Sumer Smith
• Tammy S Smith, CDCA
• Tiffany Smith
• Tiffany Smith, RN
• Chianna Smitley
• Emy Lynn Smoot, BEHAVIORAL THERAPIST
• Sarah Smyers
• Morgan N Snowden, RN
• Danielle A Snyder

• Professional Counselor in Athens, OH
• Providers in Athens, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.