Active NPI
Karisa M Smith, MA, LPC
- Professional Counselor
- Meridian, ID
National Provider Identifier
1023870201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10146
- Practice address
- 1820 S Eagle Rd
Meridian, ID 83642-2447 - Phone
- (208) 203-3269
- NPI assigned
- Jan 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10146 | ID | |
| Professional Counselor | 101YP2500X | LPC-10146 | ID | Primary |
Addresses
Primary practice location
1820 S Eagle Rd
Meridian, ID 83642-2447
Mailing address
1295 S Dawcamry LN
Kuna, ID 83634-1759
Phone (208) 204-1189
Other practice location 1
690 S Industry Way Ste 45
Meridian, ID 83642-7907
Phone (208) 922-2207
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10146 | ID | MD | Counselor |
| LPC-10146 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Demren Lahhf, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Meridian, ID
- NPI 1609511856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1023870201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 S DAWCAMRY LN",
"city": "KUNA",
"state": "ID",
"postal_code": "836341759",
"telephone_number": "208-204-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422447",
"telephone_number": "208-203-3269"
}
],
"practiceLocations": [
{
"address_1": "690 S Industry Way Ste 45",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836427907",
"country_code": "US",
"telephone_number": "208-922-2207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "KARISA",
"middle_name": "M",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-24",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "10146",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-10146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.