Active NPI
Shilain Smith, PH.D LPC
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1831142256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79127
- Practice address
- 4201 Medical Dr Ste 330
San Antonio, TX 78229-5805 - Phone
- (210) 614-4990
- Fax
- (210) 614-4991
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5299 | GA | |
| Mental Health Counselor | 101YM0800X | 5167 | SC | |
| Professional Counselor | 101YP2500X | 6485 | LA | |
| Mental Health Counselor | 101YM0800X | 79127 | TX | Primary |
Addresses
Primary practice location
4201 Medical Dr Ste 330
San Antonio, TX 78229-5805
Mailing address
20702 Wild Springs Dr
San Antonio, TX 78258-7411
Phone (404) 641-7750
Other names 1
- Shilain Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
831 Grove Rd
Suite C
Midlothian, VA 23114-2666
Phone (804) 743-0960
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79127 | TX | MD | Mental Health Counselor |
| 6485 | LA | MD | Professional Counselor |
| 5299 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesterfield Family Guidance Center | Professional | Current | Accepting new patients |
| Graves LLC | Past | Accepting new patients |
Locations
831 Grove Rd
Ste C
Midlothian, VA 23114
Phone (804) 794-6600
6603 Irongate Sq
North Chesterfield, VA 23234
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.
-
dba Care Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baton Rouge, LA
- NPI 1093107815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1831142256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20702 WILD SPRINGS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782587411",
"telephone_number": "404-641-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 MEDICAL DR STE 330",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295805",
"telephone_number": "210-614-4990",
"fax_number": "210-614-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHILAIN",
"name_prefix": "Mrs.",
"credential": "PH.D LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2024-01-03",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "5299",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "5167",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "6485",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "79127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHILAIN",
"last_name": "THOMAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.