SHAMIRA SMITH MS
NPI 1205551801
Counselor in Wake Forest, NC

Q: What is Shamira Smith's NPI number?

The NPI number for Shamira Smith is 1205551801. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Q: What is Shamira Smith's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Shamira Smith was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 05, 2022PECOS Enrolled

10580 LIGON MILL RD STE 210, WAKE FOREST, NC 27587(919) 263-9592 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shamira Smith Ms NPPES

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

SHAMIRA SMITH MS (NPI 1205551801) is an individual counselor in Wake Forest, North Carolina and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205551801

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSHAMIRA SMITHCredential: MS

Location Address10580 LIGON MILL RD STE 210Wake Forest, NC 27587-6090

Mailing Address1119 Dolly StRoxboro, NC 27573-4303 · (336) 504-0846

Phone(919) 263-9592

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 5, 2022

NPPES CertifiedOctober 5, 2022

✔ NPI 1205551801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

10580 LIGON MILL RD STE 210, Wake Forest, NC 27587

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shamira Smith Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931690856

PECOS Enrollment IDI20251118003019

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 14

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

DR. CAMELA SHERRILL BARKER PHD, LP

Psychologist (Clinical)