Calvin Kittrell Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009336 Issued in GA

Practice address

2350 Cobb Pkwy SE Apt 9C
Smyrna, GA 30080-2708

Phone

(678) 878-1548

NPI assigned

Dec 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1801435888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 COBB PKWY SE APT 9C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802708",
            "telephone_number": "678-878-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 COBB PKWY SE APT 9C",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802708",
            "telephone_number": "678-878-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CALVIN",
        "middle_name": "KITTRELL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2007034821",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6761",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Rose Slominski, LCSW
• SLP Therapy Associates, LLC
• Stefanie Smit, HHP
• Akilah Flowers Smith, MCHES
• Belinda Lythea Smith, MS., CCC-SLP
• Cordia Yvette Smith, LCSW
• Ellen Gryszka Smith, LAPC, NCC
• James K Smith, MD
• Jasmine Smith
• Lashaia M Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.