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Alison B Smith , LPC

Counselor - Professional โ€ข Augusta, GA

Active NPI 1831634591 Individual Practitioner Female Practitioner
Practice location in NPPES

3643 Walton Way Ext, Building 4
Augusta, GA 309094507

Call 7063641404 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3643 Walton Way Ext
Building 4

Augusta, GA 309094507

Telephone 7063641404
Fax 7063641419
Organization at the Same NPPES Address or Phone
Augusta Center For Psychological Services, Pc Facility NPI 1346364635

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

46 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $13,332 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $10,220 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alison Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alison Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Counselor - Professional in Georgia (2024, 36 clinicians with data). Median for this group: 43. Middle half: 14 to 191.

Too few clinicians listed under Counselor - Professional in Augusta have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Counselor - Professional in Georgia (2024, 36 clinicians with data). Median for this group: $3,541. Middle half: $1,523 to $13,874.

Too few clinicians listed under Counselor - Professional in Augusta have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Counselor - Professional in Georgia (2024, 36 clinicians with data). Median for this group: $2,769. Middle half: $1,143 to $10,752.

Too few clinicians listed under Counselor - Professional in Augusta have Medicare Part B data for 2024 to compare.

186 active clinicians are listed under Counselor - Professional with a practice address in Augusta, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

1.6% of these 186 clinicians have the CMS telehealth indicator.

9.1% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
63 24 $197.08 $75.06
90785 Psychiatric services complicated by communication factor
26 12 $25.05 $10.69
90791 Psychiatric diagnostic evaluation
26 25 $298.04 $123.78
90832 Psychotherapy, 30 minutes
18 15 $147.81 $57.04
90791 Psychiatric diagnostic evaluation
16 16 $298.04 $108.33
90837 Psychotherapy, 1 hour
14 11 $290.25 $110.78
90834 Psychotherapy, 45 minutes
12 12 $193.42 $66.38

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC012154
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240610000713

Enrollment State Jurisdiction

GA

PECOS Control ID

0547702292

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Marie Cadden , MSW

Social Worker

NPI 1730453168

Master of Social Work

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ‘ค
Provider Name / Credentials Updated July 24, 2024

Recorded as ALISON SMITH, LPC

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2024

Counselor (license number reported to NPPES: GA LPC012154)

โœ…
NPI Profile Active January 04, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 04, 2017

Registered at 3643 WALTON WAY EXT, BUILDING 4, AUGUSTA, GA 309094507 (Tel: 7063641404)

๐Ÿ“
Business Mailing Address (Initial Record) January 04, 2017

Registered at 3643 WALTON WAY EXT, BUILDING 4, AUGUSTA, GA 309094507 (Tel: 7063641404)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 04, 2017

Recorded as ALISON SMITH

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2017

Counselor

๐ŸŸข
Initial NPI Registration & Enumeration January 04, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831634591
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2017
Last Update: July 24, 2024
Sole Proprietor: No

Mailing Address

3643 Walton Way Ext, Building 4

Augusta, GA 309094507

Phone: 7063641404

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.