Shanea Lauren Smith, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12249A Issued in NC

Practice address

227 W Morehead St
Reidsville, NC 27320-3872

Phone

(336) 908-3927

NPI assigned

Jan 24, 2021

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

Enrolled in NC

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

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Irenic Therapy PLLCGroup PAC ID 5294187803, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Irenic Therapy PLLC

  • Community/Behavioral Health Agency
  • Reidsville, NC
  • NPI 1700436532

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1871183822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 FOX COVE LN APT E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274075967",
            "telephone_number": "252-876-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W MOREHEAD ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203872",
            "telephone_number": "336-908-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5318 Fox Cove Ln Apt E",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274075967",
            "country_code": "US",
            "telephone_number": "252-876-3056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANEA",
        "middle_name": "LAUREN",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12249A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Simons, M.A., L.P.C.S.
• Margaret Elizabeth Simpson, M.D.
• Kimberly Slade, PLCSW
• Tiffany Slade
• David Russell Smith, PA
• Amanda Kaye Snyder, PHARMD
• Sara R Snyder, DPT
• Demissie H Solomon
• Jessica Marie Southard
• Southeastern Heart & Vascular Center PA

• Marriage & Family Therapist in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.

Verify at the official NPI Registry.