DR. AVANTE JENA SMACK PH.D.
NPI 1124511308
Psychologist in Washington, DC

Active since June 12, 2018PECOS Enrolled
111 MICHIGAN AVE NW, WASHINGTON, DC 20010(202) 476-5000 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2022, Oct 10, 2019, Jun 12, 2018 (3 updates tracked since 2018).

About Dr. Avante Jena Smack Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AVANTE JENA SMACK PH.D. (NPI 1124511308) is an individual psychologist in Washington, District Of Columbia, licensed in District Of Columbia (PSY1001540) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124511308
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AVANTE JENA SMACKCredential: PH.D.
Location Address111 MICHIGAN AVE NWWashington, DC 20010-2916
Mailing AddressPo Box 744785Atlanta, GA 30374-4785 · (202) 476-5000
Sole ProprietorNo
Enumeration DateJune 12, 2018
Last NPPES UpdateMay 3, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2021
NPI 1124511308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in DC · PSY1001540
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 06334 (MD), 0810007515 (VA)
111 MICHIGAN AVE NW, Washington, DC 20010

Secondary Practice Locations 3

Location 14500 Forbes Blvd, Suite 200Lanham, MD 20706 · Phone (240) 200-4013
Location 29810 Patuxent Woods DrColumbia, MD 21046-1595 · Phone (904) 738-0197
Location 36468 Ducketts Lane unit 7-3Elkridge, MD 21075-2916 · Phone (240) 200-4013

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Avante Jena Smack Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avante Smack's NPI number?

The NPI number for Avante Smack is 1124511308. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Avante Smack located?

Avante Smack practices at 111 Michigan Ave NW, Washington, DC 20010. The listed phone number is (202) 476-5000.

What is Avante Smack's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Avante Smack enrolled in Medicare?

Yes. Avante Smack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avante Smack was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.