RANDY SMIES, PH.D. LLC
NPI 1619227824
Psychologist in Charleston, SC

Active since September 14, 2012
1744 SAM RITTENBERG BLVD, SUITE A3, CHARLESTON, SC 29407(843) 437-1931(843) 852-2239 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Randy Smies, Ph.d. Llc NPPES

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

RANDY SMIES, PH.D. LLC (NPI 1619227824) is a healthcare organization registered as a psychologist in Charleston, South Carolina and active in the NPI registry since September 2012. The organization lists Randall John Smies, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1619227824
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameRANDY SMIES, PH.D. LLC
Location Address1744 SAM RITTENBERG BLVD, SUITE A3Charleston, SC 29407-4935
Mailing Address1744 Sam Rittenberg Blvd, Suite A3Charleston, SC 29407-4935 · (843) 437-1931 · Fax (843) 852-2239
Fax(843) 852-2239
Organization SubpartNo
Authorized OfficialRandall John SmiesPsychologist · (843) 437-1931
Enumeration DateSeptember 14, 2012
✔ NPI 1619227824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in SC · 1054
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1744 SAM RITTENBERG BLVD, Charleston, SC 29407

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy Smies, Ph.d. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Randy Smies, Ph.D. LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1427237445
1744 SAM RITTENBERG BLVD STE. A3
Charleston, SC 29407
(843) 364-5180
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Randy Smies, Ph.D. LLC's NPI number?

The NPI number for Randy Smies, Ph.D. LLC is 1619227824. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Randy Smies, Ph.D. LLC located?

Randy Smies, Ph.D. LLC is located at 1744 Sam Rittenberg Blvd Suite A3, Charleston, SC 29407. The listed phone number is (843) 437-1931.

What is Randy Smies, Ph.D. LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Randy Smies, Ph.D. LLC enrolled in Medicare?

Yes. Randy Smies, Ph.D. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Randy Smies, Ph.D. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Randy Smies, Ph.D. LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Randy Smies, Ph.D. LLC was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.