Active NPI
Rebecca Elaine Smith, MA, LCAS-A
- Addiction (Substance Use Disorder) Counselor
- Hickory, NC
National Provider Identifier
1720716442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 28426
- Practice address
- 929 15TH St NE
Hickory, NC 28601-4161 - Phone
- (828) 327-6026
- NPI assigned
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 28426 | NC | Primary |
Addresses
Primary practice location
929 15TH St NE
Hickory, NC 28601-4161
Mailing address
4330 Viola Sipe Dr
Conover, NC 28613-8839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15687919 | Other | NC | CAQH PROVIEW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsmith@thecogcon.com | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28426 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1720716442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 VIOLA SIPE DR",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 15TH ST NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286014161",
"telephone_number": "828-327-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "REBECCA",
"middle_name": "ELAINE",
"credential": "MA, LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "28426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIEW",
"identifier": "15687919",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsmith@thecogcon.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "929 15th St NE",
"city": "Hickory",
"state": "NC",
"country_code": "US",
"postal_code": "286014161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.