Active NPI
Elizabeth Ann Smith
- Counselor
- Ocean Springs, MS
National Provider Identifier
1003252743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1768
- Practice address
- 2113 Government St Ste B4
Ocean Springs, MS 39564-3949 - Phone
- (228) 875-6400
- Fax
- (228) 875-6400
- NPI assigned
- May 21, 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 | 1768 | MS | Primary |
Addresses
Primary practice location
2113 Government St Ste B4
Ocean Springs, MS 39564-3949
Mailing address
2113 Governemtn St Ste B-4
Ocean Springs, MS 39564
Phone (228) 875-6400
Other names 1
- Elizabeth Ann Wagenaar-Smith
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1768 | MS | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategies Counseling and Consulting, PLLC | Counselor | 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.
-
- Counselor
- Ocean Springs, MS
- NPI 1669812046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1003252743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 GOVERNEMTN ST STE B-4",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "39564",
"telephone_number": "228-875-6400",
"fax_number": "228-875-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 GOVERNMENT ST STE B4",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643949",
"telephone_number": "228-875-6400",
"fax_number": "228-875-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "1768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "WAGENAAR-SMITH",
"middle_name": "ANN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.