Allen Smith, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

237 E 6TH St
Russellville, KY 42276-1917

Phone

(270) 726-3629

Fax

(270) 726-3115

NPI assigned

Aug 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lifeskills, Inc.

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1669401816
  NPD (past)

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1013148394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 E 6TH ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761917",
            "telephone_number": "270-726-3629",
            "fax_number": "270-726-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E 6TH ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761917",
            "telephone_number": "270-726-3629",
            "fax_number": "270-726-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALLEN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30604011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Ann Siegelman, PMHNP-BC
• Singh Medical Associates, PLLC
• Kamal P Singh, MD
• Kushal P Singh, MD
• James K Slaton, LCSW
• Catherine Smith, LMFT
• Devin Sona, PHARMD
• Southern Kentucky Primary Care, P.S.C.
• Southern Surgical Consultants, LLC
• Spine Stop Russellville, PLLC

• All providers in Russellville, KY
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.