Stefanie Smith

Key facts

NPI

1821723271

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

5970 Fairview Rd Ste 126
Charlotte, NC 28210-2100

Phone

(704) 412-8830

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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

• Anchored Roots Counseling, PLLC Counselor · Matthews, NC · NPI 1376497461
  NPD Authorized official
• Juliet Lam Kuehnle, Lcmhc, PLLC Mental Health Counselor · Charlotte, NC · NPI 1578173894
  NPD MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 20, 2022.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1821723271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 SAVANNAH HILLS DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053205",
            "telephone_number": "248-766-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD STE 126",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102100",
            "telephone_number": "704-412-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEFANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

• Shelly Roberta Smith, BSN, RN
• Sherry Finley Smith, FNP
• Shirley J Smith, LCSW
• Stacey Renee Smith
• Stanton James Smith, M.D.
• Stephanie Smith, BCBA
• Stephanie Denise Smith, LPN
• Stephen Lee Smith, OD
• Steven W Smith, CRNA
• Susan R Smith, NP

All providers in Charlotte, NC · Mental Health Counselor in North Carolina