Active NPI
Kaitlynn Dallas-Smith, LPC-ASSOC LMFT-ASSOC
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1023760444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204271
- Practice address
- 5000 Bee Caves Road, BLDG 1, Ste 100
Austin, TX 78746 - Phone
- (512) 717-8996
- NPI assigned
- Jan 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 86345 | TX | |
| Marriage & Family Therapist | 106H00000X | 204271 | TX | Primary |
Addresses
Primary practice location
5000 Bee Caves Road, BLDG 1, Ste 100
Austin, TX 78746
Mailing address
5000 Bee Caves Road, BLDG 1, Ste 100
Austin, TX 78746
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kaity@AustinFamilyCounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 24, 2024 through Jul 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86345 | TX | MD | Professional Counselor |
| 204271 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1023760444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 BEE CAVES ROAD, BLDG 1, STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BEE CAVES ROAD, BLDG 1, STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-717-8996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLAS-SMITH",
"first_name": "KAITLYNN",
"credential": "LPC-ASSOC LMFT-ASSOC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "86345",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204271",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kaity@AustinFamilyCounseling.com",
"affiliation": "N",
"endpointDescription": "Email-do not include confidential information.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5000 Bee Caves Road, Bldg 1, Ste 100",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "78746",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.