WILEY LIVINGSTON SMITH LCMHC
NPI 1245888676
Counselor - Professional in Winston Salem, NC

Active since August 28, 2019PECOS EnrolledAccepts Medicare Assignment
403 SOUTH HAWTHORNE ROAD, WINSTON SALEM, NC 27157(336) 716-0855 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Apr 9, 2025, Aug 19, 2022 and 2 more (5 updates tracked since 2019).

About Wiley Livingston Smith Lcmhc NPPES

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

WILEY LIVINGSTON SMITH LCMHC (NPI 1245888676) is an individual professional provider in Winston Salem, North Carolina, licensed in North Carolina (17670) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245888676
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILEY LIVINGSTON SMITHCredential: LCMHC
Location Address403 SOUTH HAWTHORNE ROADWinston Salem, NC 27157-5008
Mailing Address2000 W 1st St Ste 410Winston Salem, NC 27104-4225 · (336) 716-7339
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 28, 2019
Last NPPES UpdateMay 14, 20265 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1245888676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 17670
403 SOUTH HAWTHORNE ROAD, Winston Salem, NC 27157

Secondary Practice Locations 2

Location 1336 Deerfield RdBoone, NC 28607-5008 · Phone (828) 262-4100
Location 2813 Rivers StBoone, NC 28608-0001 · Phone (828) 262-3020

Accepted Insurance

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

Wiley Livingston Smith Lcmhc 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 ID6204350739
PECOS Enrollment IDI20250407001597
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 5

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

Counselor (Professional)
403 SOUTH HAWTHORNE ROAD
WINSTON-SALEM, NC 27157
Psychologist
403 SOUTH HAWTHORNE ROAD
WINSTON-SALEM, NC 27157
Counselor (Professional)
403 SOUTH HAWTHORNE ROAD
WINSTON SALEM, NC 27157
Counselor (Professional)
403 SOUTH HAWTHORNE ROAD
WINSTON-SALEM, NC 27157
Counselor (Mental Health)
403 SOUTH HAWTHORNE ROAD
WINSTON-SALEM, NC 27157

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 Wiley Smith's NPI number?

The NPI number for Wiley Smith is 1245888676. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Wiley Smith located?

Wiley Smith practices at 403 South Hawthorne Road, Winston Salem, NC 27157. The listed phone number is (336) 716-0855.

What is Wiley Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Wiley Smith enrolled in Medicare?

Yes. Wiley Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Wiley Smith accept?

Health plans from Blue Cross and Blue Shield of NC list Wiley Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wiley Smith was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.