Nikkiah Wyatt Smith, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005472 Issued in VA

Practice address

5705 Lee Farm LN Ste D
Suffolk, VA 23435

Phone

(757) 550-0432

NPI assigned

Feb 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Nikkiah Wyatt Former name

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": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1770805178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 MAINSAIL LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353545",
            "telephone_number": "703-577-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 LEE FARM LN STE D",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23435",
            "telephone_number": "757-550-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NIKKIAH",
        "middle_name": "WYATT",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC13985",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DC",
            "license": "LMFT000115",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKIAH",
            "last_name": "WYATT",
            "credential": "LPC, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Carol Smith, MS, FNP-BC
• Haley Terese Smith, RBT
• Leroy Smith, COTA
• Michayla Desiree Smith, FNP-BC
• Nicole Donyeal Smith
• Pamela Michele Smith, CRNA
• Sarah Elizabeth Smith, LAT, ATC
• Stanley B Smith, MD
• Taylor Ann Smith, DO
• Theresa G Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.