Individual provider Active NPI

Shilain Smith, PH.D LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1831142256
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79127 Issued in TX
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

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322001001 VA Practitioner - Mental Health Counselor 3971940297 Reassigns benefits to 1 organization

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
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

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

LicenseStateTypeSpecialty
79127TXMDMental Health Counselor
6485LAMDProfessional Counselor
5299GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center Professional CurrentSince Mar 8, 2024 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.

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

Verify at the official NPI Registry.