Active NPI
Amy B Smith, LPC, MAC, NCC
- Professional Counselor
- Washington, DC
National Provider Identifier
1891768263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC13763
- Practice address
- 1629 K St NW Ste 300
Washington, DC 20006-1631 - Phone
- (202) 210-0607
- NPI assigned
- Feb 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC13763 | DC | Primary |
Addresses
Primary practice location
1629 K St NW Ste 300
Washington, DC 20006-1631
Mailing address
803 17TH St SE
Washington, DC 20003-3128
Phone (202) 547-8667
Other practice location 1
803 17th St SE
Washington, DC 20003-3128
Phone (202) 210-0607
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC13763 | DC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitman-Walker Clinic Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1003316316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1891768263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 17TH ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033128",
"telephone_number": "202-547-8667",
"fax_number": "202-547-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 K ST NW STE 300",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061631",
"telephone_number": "202-210-0607"
}
],
"practiceLocations": [
{
"address_1": "803 17th St SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200033128",
"country_code": "US",
"telephone_number": "202-210-0607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "AMY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "LPC, MAC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC13763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.