| Dr Lonnie W Smith Jr, PHD, LPC, NCC | |
|
1001 Reynolda Rd, Winston Salem, NC 27104-3245 | |
| (336) 721-7616 | |
| (336) 721-7676 |
| Full Name | Dr Lonnie W Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 1001 Reynolda Rd, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902126659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 7599 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Behavioral Care Of North Carolina Pc | 5092120030 | 161 |
| Entity Name | Optum Behavioral Care Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629843933 PECOS PAC ID: 5092120030 Enrollment ID: O20210224002078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lonnie W Smith Jr, PHD, LPC, NCC 1001 Reynolda Rd, Winston Salem, NC 27104-3245 Ph: (336) 721-7616 | Dr Lonnie W Smith Jr, PHD, LPC, NCC 1001 Reynolda Rd, Winston Salem, NC 27104-3245 Ph: (336) 721-7616 |
Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523 | |
Keren Happuch Williams, LCMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260 | |
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628 | |
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464 | |
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999 | |
Amanda Grace Connelly, Counselor Medicare: Accepting Medicare Assignments Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620 | |
Lesa Arnold Chesson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106 Phone: 336-896-0022 |