Christina Renee Smith, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001514A Issued in IN

Practice address

114 E Washington St
Muncie, IN 47305-1734

Phone

(765) 273-3224

NPI assigned

Feb 9, 2006

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 26, 2024 through Feb 26, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Freedom Work Counseling and Consulting LLC

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1023639317
  NPD Authorized official
• Still Waters Holdings

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1730116187
  NPD (past)

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1013980028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W WOODBRIDGE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473041064",
            "telephone_number": "765-273-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E WASHINGTON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051734",
            "telephone_number": "765-273-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 W. Royale Drive",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473042264",
            "country_code": "US",
            "telephone_number": "765-284-0043",
            "fax_number": "765-284-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTINA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001514A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "589745000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000257045",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100205420A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Smart, LMHC
• Ashleigh Smith, LMHC
• Ashley Smith
• Belinda Smith, ACIT II, MATS, MPA
• Brandy Jo Smith, PA-C
• Ciara Nicole Smith, MD
• David Smith, LMHC
• David S Smith, DPM
• Deana Smith
• Dwayne E Smith, PT

• Mental Health Counselor in Muncie, IN
• Providers in Muncie, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.