NPIMap

Organization Active NPI

Michelle L. Smith, Ma, LPC

  • Mental Health Counselor
  • Conroe, TX
National Provider Identifier
1003244401
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
63615 Issued in TX
Legal business name
MICHELLE L. SMITH, MA, LPC
Practice address
15200 Moonlight TRL
Conroe, TX 77384-3540
Phone
(936) 648-6724
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Michelle L Smith, LPC
Title
Owner
Phone
(936) 648-6724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 63615 TX Primary

Addresses

Primary practice location

15200 Moonlight TRL
Conroe, TX 77384-3540

Mailing address

15200 Moonlight TRL
Conroe, TX 77384-3540
Phone (936) 648-6724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1003244401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 MOONLIGHT TRL",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843540",
            "telephone_number": "936-648-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 MOONLIGHT TRL",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843540",
            "telephone_number": "936-648-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L. SMITH, MA, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-648-6724",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.