Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
OLIVIA SMITH
NPI 1063380277
Counselor - Mental Health in Gaithersburg, MD
Active since October 28, 2025
About Olivia Smith NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVIA SMITH (NPI 1063380277) is an individual mental health provider in Gaithersburg, Maryland, licensed in Maryland (LGP17041) and active in the NPI registry since October 2025.
NPPES Registry Identity
NPI1063380277
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOLIVIA SMITH
Location Address9053 SHADY GROVE CTGaithersburg, MD 20877-1301
Mailing Address9053 Shady Grove CtGaithersburg, MD 20877-1301 · (240) 810-3790 · Fax (240) 243-6259
Phone(240) 810-3790
Sole ProprietorNo
Enumeration DateOctober 28, 2025
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1063380277 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LGP17041
9053 SHADY GROVE CT, Gaithersburg, MD 20877
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Specialist
9053 SHADY GROVE CT
GAITHERSBURG, MD 20877
GAITHERSBURG, MD 20877
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063380277, enumerated as an "individual" on October 28, 2025.
The provider is located at 9053 SHADY GROVE CT GAITHERSBURG, MD 20877 and the phone number is (240) 810-3790.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.