Shantray Lenay Smith, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5058 Issued in LA

Practice address

325 Woodale Dr Apt 74
Monroe, LA 71203-2798

Phone

(318) 503-9214

NPI assigned

Feb 8, 2021

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1023600442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WOODALE DR APT 74",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032798",
            "telephone_number": "318-503-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WOODALE DR APT 74",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032798",
            "telephone_number": "318-503-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHANTRAY",
        "middle_name": "LENAY",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Smith
• Richard D Smith Jr., M.D.
• Ronny Smith Jr., LCSW
• Samantha Jade Smith
• Sarah Smith
• Shaquantalyn Smith
• Shelly Smith
• Stacey Renee Smith
• Stanley Smith
• Taylor Smith

• Professional Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Professional Counselor in Louisiana

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