Alta Rosetta Smith

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704013748 Issued in VA

Practice address

3802 Poplar Hill Rd Ste G
Chesapeake, VA 23321-5523

Phone

(757) 214-5898

NPI assigned

May 19, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1821735937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 QUEEN ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211543",
            "telephone_number": "757-214-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 POPLAR HILL RD STE G",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215523",
            "telephone_number": "757-214-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALTA",
        "middle_name": "ROSETTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conna Smiley
• Talicia Victoria Smith-Fields
• Adrienne Nicole Smith, MA, LPC
• Alan A Smith, CSA
• Alfred Smith III, LPC
• Amanda Smith, LPC
• Anna Katherine Smith, LPC
• Antoine Lamont Smith Sr., HS
• Bradley Jamison Smith
• Brianna Smith

• Mental Health Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.