Look up the most recent NPI and PECOS records

Robert Smith

Counselor

Behavioral Health & Social Service Providers

3300 Rivermont Ave, Lynchburg, VA 24503-2030

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Smith does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1962450494
Provider Type
Individual
Full Name
Smith, Robert
Gender
Male

Sole Proprietor
No
Enumeration Date
5/5/2006
Last Updated
3/14/2008

Contact Information

Practice Location

3300 Rivermont Ave, Lynchburg, VA 24503-2030

(434) 200-4455

Unlisted Fax

Mailing Location

1204 Fenwick Dr, Lynchburg, VA 24502-2112

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701003828 Virginia

Provider Identifiers

ID	Description	Issuer
ID 010263913	Description Medicaid	Issuer Unlisted Virginia

Robert Smith

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Johnson, Stephen George

Sova, Patricia

Hutchison, James Ralph

Sullivan, Daniel J.

Thompson, Stacey

Maloy, Joy Bernhart

Meador, James Allan

Eager, Benjamin

Hunter, Rebecca Clare

Smith, Meredith Ryan