Tracy Smith

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2885 Issued in KS

Practice address

900 N Poplar St Ste 103
Newton, KS 67114-1968

Phone

(316) 803-1011

Fax

(316) 803-1754

NPI assigned

Aug 22, 2017

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

Other names 1

• Tracy Cantrell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Shine Integrative Therapy, LLC

  • Marriage & Family Therapist
  • Newton, KS
  • NPI 1578080412
  NPD Authorized official
• Katrina Zachary, LLC

  • Marriage & Family Therapist
  • Newton, KS
  • NPI 1275050908
  NPD (past)

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033636972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N POPLAR ST STE 103",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671141968",
            "telephone_number": "316-803-1011",
            "fax_number": "316-803-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N POPLAR ST STE 103",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671141968",
            "telephone_number": "316-803-1011",
            "fax_number": "316-803-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "2885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CANTRELL",
            "credential": "TLMFT, LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joel Scott Smith, DDS
• Marsha Smith, PHARMD
• Meredith Suzanne Smith
• Steven Finas Smith, LMAC
• Tacy Smith, ARNP
• Alyson Sneath, LSCSW
• Jacob Duane Snodgrass, DPT
• Justin A Soriano, LSCSW, T-LMAC
• Jeconiah Bryce Spangler, PHARMD
• Margaret Spare

• Marriage & Family Therapist in Newton, KS
• Providers in Newton, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.