Active NPI
Tamara Nicole Smith, MS, CRC, LPC
- Mental Health Counselor
- Raeford, NC
National Provider Identifier
1902176613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8280
- Practice address
- 201 John Brown Rd
Raeford, NC 28376-5708 - Phone
- (336) 451-3779
- NPI assigned
- Jan 11, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8280 | NC | Primary |
Addresses
Primary practice location
201 John Brown Rd
Raeford, NC 28376-5708
Mailing address
201 John Brown Rd
Raeford, NC 28376-5708
Phone (336) 451-3779
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8280 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1902176613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 JOHN BROWN RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283765708",
"telephone_number": "336-451-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 JOHN BROWN RD",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283765708",
"telephone_number": "336-451-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TAMARA",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "MS, CRC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "8280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.