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ODETTA SMILEY, PSYD, LPC, LLC.
NPI 1659911063
Counselor - Professional in Richmond Hill, GA

Active since January 14, 2020
185 RICHARD DAVIS DR STE 102, RICHMOND HILL, GA 31324(912) 304-3051(844) 904-0927 Get Directions Write a Review

NPPES record last updated: November 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2023, Jul 31, 2020, Jan 14, 2020 (3 updates tracked since 2020).

About Odetta Smiley, Psyd, Lpc, Llc. NPPES

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

ODETTA SMILEY, PSYD, LPC, LLC. (NPI 1659911063) is a healthcare organization registered as a professional in Richmond Hill, Georgia and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Warner Robins and lists Odetta Smiley, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1659911063
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameODETTA SMILEY, PSYD, LPC, LLC.
Location Address185 RICHARD DAVIS DR STE 102Richmond Hill, GA 31324-3978
Mailing Address20 Joshua CirEllabell, GA 31308-7301 · (912) 655-1811
Phone(912) 304-3051
Fax(844) 904-0927
Organization SubpartNo
Authorized OfficialOdetta SmileyPsychologist · (478) 227-2419
Enumeration DateJanuary 14, 2020
Last NPPES UpdateNovember 18, 20233 updates tracked since enumeration
NPPES CertifiedNovember 18, 2023
✔ NPI 1659911063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
185 RICHARD DAVIS DR STE 102, Richmond Hill, GA 31324
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Secondary Practice Location 1

Location 12052 Watson BlvdWarner Robins, GA 31093-3625 · Phone (478) 227-2419 · Fax (877) 299-6815

Other Identifiers 2

Medicaid003140039AGA
Other1194082818Npi 1

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odetta Smiley, Psyd, Lpc, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Odetta Smiley, Psyd, Lpc, LLC., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Robert Richardson, PSY.D.
Clinical Psychologist
NPI 1538331509
185 RICHARD DAVIS DR STE 102
Richmond Hill, GA 31324
(912) 231-5487
✔ PECOSSame address
Odetta Smiley, PSYD, LPC, CCMHC,MAC
Mental Health Counselor
NPI 1194082818
185 RICHARD DAVIS DR STE 102
Richmond Hill, GA 31324
(912) 304-3051
✔ 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 Odetta Smiley, Psyd, Lpc, LLC.'s NPI number?

The NPI number for Odetta Smiley, Psyd, Lpc, LLC. is 1659911063. It was assigned to this organization in the NPPES registry on January 14, 2020.

Where is Odetta Smiley, Psyd, Lpc, LLC. located?

Odetta Smiley, Psyd, Lpc, LLC. is located at 185 Richard Davis Dr Ste 102, Richmond Hill, GA 31324. The listed phone number is (912) 304-3051.

What is Odetta Smiley, Psyd, Lpc, LLC.'s specialty?

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

Is Odetta Smiley, Psyd, Lpc, LLC. enrolled in Medicare?

Yes. Odetta Smiley, Psyd, Lpc, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odetta Smiley, Psyd, Lpc, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Odetta Smiley, Psyd, Lpc, LLC., in Clinical Psychologist and Mental Health Counselor. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Odetta Smiley, Psyd, Lpc, LLC. was last updated on November 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.