Active NPI
Deiadra Louise Smidt, LPC
- Counselor
- Sheridan, WY
National Provider Identifier
1003252289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1316
- Practice address
- 1949 Sugarland Dr
Sheridan, WY 82801-5755 - Phone
- (307) 751-6376
- Fax
- (307) 674-1825
- NPI assigned
- May 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1316 | WY | Primary |
Addresses
Primary practice location
1949 Sugarland Dr
Sheridan, WY 82801-5755
Mailing address
1949 Sugarland Dr
Sheridan, WY 82801-5755
Phone (307) 751-6376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Strategy Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Sheridan, WY
- NPI 1770718033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1003252289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 SUGARLAND DR",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015755",
"telephone_number": "307-751-6376",
"fax_number": "307-674-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 SUGARLAND DR",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828015755",
"telephone_number": "307-751-6376",
"fax_number": "307-674-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIDT",
"first_name": "DEIADRA",
"middle_name": "LOUISE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "1316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.