Rhonda Shaw Smillie, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4170 Issued in CA

Practice address

121 N Lucia Ave
Redondo Beach, CA 90277-3219

Phone

(662) 801-4947

Fax

(662) 236-3071

NPI assigned

Dec 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1962687798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N LUCIA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773219",
            "telephone_number": "662-801-4947",
            "fax_number": "662-236-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N LUCIA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773219",
            "telephone_number": "662-801-4947",
            "fax_number": "662-236-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILLIE",
        "first_name": "RHONDA",
        "middle_name": "SHAW",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "0747",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC/ MENTAL HEALTH",
            "identifier": "1203",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SJC Transit
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• Monica Anne Slivar, O.D.
• Matthew Slocum
• Angela Nicole Sloss
• Amber Smith, LMT
• Bradley Smith, M.D.
• Bruce Graham Smith
• Diadra Imani Smith, LCSW
• Emily Smith

• Professional Counselor in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.