Active NPI
Linda Yvonne Henderson-Smith, PHD, LPC
- Professional Counselor
- Lithonia, GA
National Provider Identifier
1982831418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 005416
- Practice address
- 1345 Doe Valley Dr
Lithonia, GA 30058-6201 - Phone
- (323) 240-6543
- NPI assigned
- Jun 11, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 005416 | GA | Primary |
Addresses
Primary practice location
1345 Doe Valley Dr
Lithonia, GA 30058-6201
Mailing address
1345 Doe Valley Dr
Lithonia, GA 30058-6201
Phone (323) 240-6543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 569644507A | Medicaid | GA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atc Consulting LLC | Professional | Current | Accepting new patients |
| All Things Consulting, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Lithonia, GA
- NPI 1922629013
-
- Mental Health Counselor
- Decatur, GA
- NPI 1407083934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1982831418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 DOE VALLEY DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300586201",
"telephone_number": "323-240-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 DOE VALLEY DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300586201",
"telephone_number": "323-240-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON-SMITH",
"first_name": "LINDA",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "PHD, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "005416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "569644507A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.