Active NPI
Guy G Smith, MS, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1023028982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7431
- Practice address
- 6036 Birchbrook Dr Apt 226
Dallas, TX 75206-4470 - Phone
- (214) 361-1519
- Fax
- (972) 509-1450
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7431 | TX | Primary |
Addresses
Primary practice location
6036 Birchbrook Dr Apt 226
Dallas, TX 75206-4470
Mailing address
PO Box 601122
Dallas, TX 75360-1122
Phone (214) 361-1519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1260LC | Other | TX | BLUE CROSS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7431 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1023028982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601122",
"city": "DALLAS",
"state": "TX",
"postal_code": "753601122",
"telephone_number": "214-361-1519",
"fax_number": "972-509-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6036 BIRCHBROOK DR APT 226",
"city": "DALLAS",
"state": "TX",
"postal_code": "752064470",
"telephone_number": "214-361-1519",
"fax_number": "972-509-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GUY",
"middle_name": "G",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "7431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1260LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.