Brenda McGillivray Smith, LPC LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002606 Issued in VA

Practice address

250 Old Mill LN
Broadway, VA 22815-2754

Phone

(540) 901-9000

Fax

(540) 901-9000

NPI assigned

Apr 12, 2006

Last updated

Sep 9, 2022By the provider in NPPES

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1750345310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OLD MILL LN",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228152754",
            "telephone_number": "540-901-9000",
            "fax_number": "540-901-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OLD MILL LN",
            "city": "BROADWAY",
            "state": "VA",
            "postal_code": "228152754",
            "telephone_number": "540-901-9000",
            "fax_number": "540-901-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIVRAY SMITH",
        "first_name": "BRENDA",
        "credential": "LPC LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002606",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005408806",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Broadway, VA
• Providers in Broadway, VA by specialty
• Professional Counselor in Virginia

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

Verify at the official NPI Registry.