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

Active since January 18, 2022PECOS Enrolled
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: August 30, 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
Phone(540) 686-6909
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
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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 (PECOS)

Mr. Charles Smith Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

AVALON PSYCHOTHERAPY LLC
Social Worker (Clinical)
12 N BRADDOCK ST
WINCHESTER, VA 22601
Winchester City (540) 781-1558
RACHEL CERRETANI
Counselor (Mental Health)
12 N BRADDOCK ST
WINCHESTER, VA 22601
Winchester City (540) 692-0269

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 Charles Smith's NPI number?

The NPI number for Charles Smith is 1174274401. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Charles Smith located?

Charles Smith practices at 12 N Braddock St, Winchester, VA 22601. The listed phone number is (540) 686-6909.

What is Charles Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Charles Smith enrolled in Medicare?

Yes. Charles Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Smith was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.