MEDICARE: GRAYSON SMITH LPC, NCC

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	0701014003	VA

General Provider Information

NPI Number	:	1659239929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRAYSON SMITH LPC, NCC

Provider Business Mailing Address
First Line	:	1005 N GLEBE RD STE 300
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5792
Country	:	US
Telephone Number	:	703-436-8158
Fax Number	:	703-436-8350

Provider Business Practice Location Address
First Line	:	1005 N GLEBE RD STE 300
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5792
Country	:	US
Telephone Number	:	703-436-8158
Fax Number	:	703-436-8350

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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