MR. SAMUEL SMITH II NCC, LPC
NPI 1497243356
Counselor - Mental Health in Kennesaw, GA

NPI Status: Active since April 26, 2018

Contact Information

5150 STILESBORO RD NW
KENNESAW, GA
ZIP 30152
Phone: (770) 852-8686
Fax: (770) 852-8696

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  • Individual
  • Male
  • Counselor
  • Mental Health

About SAMUEL SMITH

This page provides the complete NPI Profile along with additional information for Samuel Smith, a provider established in Kennesaw, Georgia with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1497243356 assigned on April 2018. The practitioner's primary taxonomy code is 101YM0800X with license number LPC009519 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1497243356
Provider Name
MR. SAMUEL SMITH II NCC, LPC
Gender
Male
Entity Type
Individual
Location Address
5150 STILESBORO RD NW KENNESAW, GA 30152
Location Phone
(770) 852-8686
Location Fax
(770) 852-8696
Mailing Address
5150 STILESBORO RD NW KENNESAW, GA 30152
Mailing Phone
(770) 852-8686
Mailing Fax
(770) 852-8696
Is Sole Proprietor?
Yes
Enumeration Date
04-26-2018
Last Update Date
04-26-2018
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A mental health counselor like Samuel Smith provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
LPC009519
License State
GA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497243356
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187446310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 4 + 6 + 3 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1497243356 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

WELLSTAR PEDIATRICS AT BROOKSTONE, LLC

Pediatrics

5150 STILESBORO RD NW
SUITE 220
KENNESAW, GA
ZIP 30152

(770) 424-8222

MR. MARK G STEVENS PT

Physical Therapist

5150 STILESBORO RD NW
KENNESAW, GA
ZIP 30152

(678) 354-6171

ACWORTH FAMILY MEDICINE, PC

Clinic/Center

(Primary Care)

5150 STILESBORO RD NW
SUITE 120
KENNESAW, GA
ZIP 30152

(678) 354-0230

DR. FRANK PAUL GIOVANNOTTO D.C.

Chiropractor

5150 STILESBORO RD NW
BLDG.100 SUITE110
KENNESAW, GA
ZIP 30152

(770) 427-3337

TAMERA FIRNBACH D.C.

Chiropractor

(Nutrition)

5150 STILESBORO RD NW
SUITE 420
KENNESAW, GA
ZIP 30152

(770) 425-6068

BALANCED BODY WELLNESS CENTRE, LLC

Preferred Provider Organization

5150 STILESBORO RD NW
SUITE 420
KENNESAW, GA
ZIP 30152

(770) 425-6068

MRS. DORIS EUBANKS OSBORNE OTR/L

Occupational Therapist

5150 STILESBORO RD NW
SUITE 410
KENNESAW, GA
ZIP 30152

(770) 218-2300

MRS. LESLIE BETH WILLIAMS

Speech-Language Pathologist

5150 STILESBORO RD NW
SUITE 410
KENNESAW, GA
ZIP 30152

(770) 218-2300

PATRICIA PHILLIPS SLP

Speech-Language Pathologist

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

TRACY A FERGUSON SLP

Speech-Language Pathologist

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

TAMMY DAVIS COTA

Occupational Therapy Assistant

5150 STILESBORO RD NW
KENNESAW, GA
ZIP 30152

(770) 218-2300

DR. MANDY PHILLIPS RUDDELL

Counselor

(Professional)

5150 STILESBORO RD NW
SUITE 100
KENNESAW, GA
ZIP 30152

(404) 680-3032

MRS. LINDA CRENSHAW CHARRETTE LPC

Counselor

(Professional)

5150 STILESBORO RD NW
SUITE 100
KENNESAW, GA
ZIP 30152

(404) 368-4722

ANNE PITTS

Occupational Therapist

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

PATTY HOLLIDAY OTR/L

Occupational Therapist

(Pediatrics)

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

ANDREA DAVIS

Speech-Language Pathologist

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

NANCY KNIGHT

Occupational Therapist

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

MRS. TERESA MICHELLE SIRMANS LPC

Counselor

(Professional)

5150 STILESBORO RD NW
SUITE 100
KENNESAW, GA
ZIP 30152

(678) 485-5559

SUSAN LON

Speech-Language Pathologist

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

JENNIFER KING

Speech-Language Pathologist

5150 STILESBORO RD NW
SUITE 430
KENNESAW, GA
ZIP 30152

(770) 218-2300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497243356, enumerated as an "individual" on April 26, 2018.

The provider is located at 5150 STILESBORO RD NW KENNESAW, GA 30152 and the phone number is (770) 852-8686.

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