Active NPI
Misty D Robertson-Smith, PHD, LPC, CEAP, NCC
- Counselor
- Birmingham, AL
National Provider Identifier
1851662050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2082
- Practice address
- 1920 Valleydale Rd
Suite 116
Birmingham, AL 35244-1703 - Phone
- (205) 522-6113
- Fax
- (205) 383-3253
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2082 | AL | Primary |
Addresses
Primary practice location
1920 Valleydale Rd
Suite 116
Birmingham, AL 35244-1703
Mailing address
1920 Valleydale Rd
Suite 116
Birmingham, AL 35244-1703
Phone (205) 522-6113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2082 | AL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1851662050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 VALLEYDALE RD",
"address_2": "SUITE 116",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352441703",
"telephone_number": "205-522-6113",
"fax_number": "205-383-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 VALLEYDALE RD",
"address_2": "SUITE 116",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352441703",
"telephone_number": "205-522-6113",
"fax_number": "205-383-3253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON-SMITH",
"first_name": "MISTY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD, LPC, CEAP, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "2082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.