Individual provider Active NPI

Stephanie C Smith, LPC

  • Mental Health Counselor
  • Lansdowne, VA
National Provider Identifier
1992817118
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003536 Issued in VA
Practice address
19420 Golf Vista PLZ Ste 250
Lansdowne, VA 20176-8267
Phone
(804) 207-6737
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701003536 VA Primary
Professional Counselor 101YP2500X 0701003536 VA

Addresses

Primary practice location

19420 Golf Vista PLZ Ste 250
Lansdowne, VA 20176-8267

Mailing address

19420 Golf Vista PLZ Ste 250
Lansdowne, VA 20176-8267
Phone (804) 207-6737

Other practice location 1

1005 N Glebe Rd Ste 525
Arlington, VA 22201-5792
Phone (804) 207-6737

Other identifiers 1

IdentifierTypeStateIssuer
30015512840002MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231208001263 VA Practitioner - Mental Health Counselor 7315396876 Reassigns benefits to 1 organization
I20231208002594 DC Practitioner - Mental Health Counselor 7315396876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Suite 525
Arlington, VA 22201-5792
Phone (804) 207-6737

19420 Golf Vista PLZ
Suite 250
Lansdowne, VA 20176-8267
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701003536VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1005 N Glebe Rd
Ste 525
Arlington, VA 22201
Phone (703) 962-7605

20098 Ashbrook Pl
Ste 255
Ashburn, VA 20147

19420 Golf Vista Plz
Ste 250
Leesburg, VA 20176
Phone (571) 349-0273

1360 Beverly Rd
Ste 200
McLean, VA 22101
Phone (203) 246-9073

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

17336 Pickwick Dr
Ste 101
Purcellville, VA 20132
Phone (540) 926-3885

Interoperability endpoints

  • Direct secure messaging: granatogroup.stephaniesmith@144557.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1992817118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ STE 250",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768267",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19420 GOLF VISTA PLZ STE 250",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768267",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 N Glebe Rd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015792",
            "country_code": "US",
            "telephone_number": "804-207-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701003536",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701003536",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015512840002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.