Lisa Marie Smith, MAC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4121 Union Rd Ste 225
Saint Louis, MO 63129-1093

Phone

(314) 406-8193

NPI assigned

Jan 9, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1023658887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 PARKWOOD DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631234830",
            "telephone_number": "314-406-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 UNION RD STE 225",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291093",
            "telephone_number": "314-406-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MAC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lisachoicesther@gmail.com",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "8125 Parkwood Dr",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631234830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Elizabeth Smith, MSN, APRN, AGNP-C
• Lauren Michelle Smith, DPT
• Lekeshia Smith, FNP
• Linda Smith, P.T.
• Lisa Smith, R.N.
• Lizette Janine Smith, PH.D.
• Lucendia Smith, CERTIFIED DOULA
• Madeline Smith, APRN
• Mallory Brooke Smith, MD
• Maria Louise Smith, FNP

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.