Active NPI
Stephanie C Smith, LPC
- Mental Health Counselor
- Lansdowne, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701003536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30015512840002 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701003536 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Counseling Associates Inc | Mental Health | Current | 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
- 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.
-
- Clinical Psychologist
- Mechanicsville, VA
- NPI 1851345805
DC, Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.