Marcey Smith, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

080966 Issued in IA

Practice address

915 Southwest Blvd Ste E
Jefferson City, MO 65109-5014

Phone

(641) 485-0602

Fax

(573) 679-3362

NPI assigned

Dec 15, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grey Matters Counseling and Coaching LLC,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson City, MO
  • NPI 1376248922
  Medicare reassignment Authorized official
• Grace C Mae Advocate Center, Inc

  • Community/Behavioral Health Agency
  • Cedar Rapids, IA
  • NPI 1700018405
  NPD (past)

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1043726870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD STE E",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "641-485-0602",
            "fax_number": "573-679-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SOUTHWEST BLVD STE E",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095014",
            "telephone_number": "641-485-0602",
            "fax_number": "573-679-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARCEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "080966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101342",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas N. Smith, D.O.
• James Marion Smith, LPC
• Jenna Smith, LMSW
• Joanna P. Smith, PA-C
• Loretta Smith, APN
• Olivia Smith, PLPC
• Robert William Smith, PLPC
• Ryan J Smith, DDS
• Samantha Smith, COTA/L
• Jami Leann Snow

• Mental Health Counselor in Jefferson City, MO
• Providers in Jefferson City, 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 Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.