Individual provider Active NPI

Ronny Smith, DR.PH, MS, LPC, NCC

  • Professional Counselor
  • Montgomery, AL
National Provider Identifier
1740843382
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3368 Issued in AL
Practice address
9532 Wynlakes PL
Montgomery, AL 36117-8515
Phone
(334) 270-3181
Fax
(334) 270-5805
NPI assigned
Apr 18, 2019
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 3368 AL Primary

Addresses

Primary practice location

9532 Wynlakes PL
Montgomery, AL 36117-8515

Mailing address

10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010

Other practice location 1

1406 Hicks Industrial Blvd Apt B7
Union Springs, AL 36089-7326
Phone (334) 473-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250109000526 AL Practitioner - Mental Health Counselor 4587192216 Reassigns benefits to 1 organization
I20260610000424 FL Practitioner - Mental Health Counselor 4587192216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1951 NW 7THH Ave
FL 3
Miami, FL 33163-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3368ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rivertown Psychiatry, PC Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients
Careareus Counseling and Wellness Center, LLC Current Accepting new patients
Specialized Alternatives for Families and Youth of America, Inc. PastSince Nov 8, 2020 Accepting new patients

Locations

2123 Executive Park Dr
Opelika, AL 36801
Phone (334) 275-9595

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1740843382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9532 WYNLAKES PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178515",
            "telephone_number": "334-270-3181",
            "fax_number": "334-270-5805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 Hicks Industrial Blvd Apt B7",
            "address_purpose": "LOCATION",
            "city": "Union Springs",
            "state": "AL",
            "postal_code": "360897326",
            "country_code": "US",
            "telephone_number": "334-473-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RONNY",
        "name_prefix": "Dr.",
        "credential": "DR.PH, MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.