Individual provider Active NPI

Michael Hastings Smith, LMFT - ASSOCIATE

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1013786078
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205153 Issued in TX
Practice address
21015 Market RDG Ste 101
San Antonio, TX 78258-4975
Phone
(210) 496-0100
NPI assigned
Jan 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 205153 TX Primary

Addresses

Primary practice location

21015 Market RDG Ste 101
San Antonio, TX 78258-4975

Mailing address

21015 Market RDG Ste 101
San Antonio, TX 78258-4975
Phone (210) 496-0100

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

LicenseStateTypeSpecialty
205153TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northrup Therapy CurrentSince Jan 7, 2024 Accepting new patients

Locations

21015 Market Rdg
Ste 101
San Antonio, TX 78258
Phone (210) 496-0100

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.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1013786078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 MARKET RDG STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584975",
            "telephone_number": "210-496-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 MARKET RDG STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584975",
            "telephone_number": "210-496-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "HASTINGS",
        "name_prefix": "Mr.",
        "credential": "LMFT - ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.