Individual provider Active NPI

Cristina Smugala, MA, LPC

  • Professional Counselor
  • Clayton, MO
National Provider Identifier
1003212739
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013010229 Issued in MO
Practice address
141 N Meramec Ave
Suite 109
Clayton, MO 63105-3750
Phone
(314) 265-3756
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013010229 MO Primary

Addresses

Primary practice location

141 N Meramec Ave
Suite 109
Clayton, MO 63105-3750

Mailing address

15 Henson LN
Florissant, MO 63031-8017
Phone (314) 888-5212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 21, 2024 through Aug 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2013010229MOMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1003212739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HENSON LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318017",
            "telephone_number": "314-888-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N MERAMEC AVE",
            "address_2": "SUITE 109",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053750",
            "telephone_number": "314-265-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUGALA",
        "first_name": "CRISTINA",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013010229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.