Nicole Rene Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007053 Issued in GA

Practice address

1414 Dug Gap Rd
Dalton, GA 30720-5007

Phone

(706) 279-0405

Fax

(706) 279-4190

NPI assigned

Apr 25, 2014

Last updated

Apr 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family and Children First LLC

  dba Georgia HOPE

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1770627515
  NPD (past)

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1790105021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307220863",
            "telephone_number": "706-279-0405",
            "fax_number": "706-279-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205007",
            "telephone_number": "706-279-0405",
            "fax_number": "706-279-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "RENE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karah Freeman Smith, PA-C
• Mackenzie Ann Smith, OTR
• Mary Sue Smith, LMSW
• Mathew Dean Smith, M.D.
• Michael Shane Smith, D.D.S.
• Quentin Smith, MD
• Tammy Smith
• Teina Smith
• Terry Lee Smith
• Victoria Alexus Smith, FNP-C

• Professional Counselor in Dalton, GA
• Providers in Dalton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.