MR. CHARLES SMITH LPC
NPI 1174274401
Counselor - Mental Health in Winchester, VA

Active since January 18, 2022PECOS EnrolledAccepts Medicare Assignment
12 N BRADDOCK ST, WINCHESTER, VA 22601(540) 686-6909(540) 242-3385 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Charles Smith Lpc NPPES

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

MR. CHARLES SMITH LPC (NPI 1174274401) is an individual mental health provider in Winchester, Virginia, licensed in Virginia (0701011137) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174274401
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CHARLES SMITHCredential: LPC
Location Address12 N BRADDOCK STWinchester, VA 22601-4120
Mailing Address12 N Braddock StWinchester, VA 22601-4120 · (540) 686-6910 · Fax (540) 242-3385
Fax(540) 242-3385
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 18, 2022
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
NPI 1174274401 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 VA · 0701011137
12 N BRADDOCK ST, Winchester, VA 22601

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles Smith Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961841358
PECOS Enrollment IDI20240418000805
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

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

Counselor (Mental Health)
12 N BRADDOCK ST
WINCHESTER, VA 22601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174274401, enumerated as an "individual" on January 18, 2022.

The provider is located at 12 N BRADDOCK ST WINCHESTER, VA 22601 and the phone number is (540) 686-6909.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.