MEDICARE: MS. ERICA LEA SMITH LMHC, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CP0219	NV
2	101YM0800X	Mental Health Counselor	LH61405149	WA
3	101YM0800X	Mental Health Counselor	CPC0219	NV
4	101YM0800X	Mental Health Counselor	MH12473	FL

General Provider Information

NPI Number	:	1619380565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERICA LEA SMITH LMHC, LCPC

Provider Business Mailing Address
First Line	:	12102 4TH AVE W APT 24-101
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98204-6410
Country	:	US
Telephone Number	:	702-467-5271
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 N TENAYA WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0424
Country	:	US
Telephone Number	:	702-228-4257
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	04/15/2026

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