Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wiley Livingston Smith, LCMHC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245888676

Wiley Livingston Smith, LCMHC is a Mental Health Counselor in Winston Salem, North Carolina. Qualified in 2022, 4 years ago. Practices with Carenet Inc, a 39-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

403 S Hawthorne Rd
Winston Salem, NC 27157-5008
Phone: (336) 716-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 336 Deerfield Rd, Boone, NC 28607-5008 — (828) 262-4100
  • 813 Rivers St, Boone, NC 28608-0001 — (828) 262-3020

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 17670 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245888676
Entity typeIndividual (Type 1)
GenderMale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carenet Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winston Salem