Stacy Ann Smith, LPC, NCC, MT-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7202 Issued in NC

Practice address

4525 Draper Rd
Raleigh, NC 27616-5674

Phone

(919) 815-0688

NPI assigned

Sep 14, 2007

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

Other identifiers 1

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1740476514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124652",
            "telephone_number": "919-815-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 DRAPER RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165674",
            "telephone_number": "919-815-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "05781",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104086",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharlisa Smith, LPN
• Sharon Sims Smith, PHARMD
• Shawnette D Smith, FNP-BC
• Sherrie Smith, RN
• Sierra Smith
• Stephanie Jarrett Smith, MA CCC-SLP
• Stephen Smith, PA-C
• Stephen Wayne Smith, M.D.
• Susan Elaine Smith, M.A.
• Suzanne Smith, RD

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.