Tina Maria Smith, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75854 Issued in TX

Practice address

807 Henderson Ave
Orange, TX 77630-6325

Phone

(409) 883-2273

Fax

(409) 883-2274

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1043865736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 CHASSE BEND ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776329815",
            "telephone_number": "281-352-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 HENDERSON AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776306325",
            "telephone_number": "409-883-2273",
            "fax_number": "409-883-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Silsbee",
            "state": "TX",
            "postal_code": "776564010",
            "country_code": "US",
            "telephone_number": "409-238-2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SLP Orange LLC
• Jacie Layne Smith-Hyatt, CCC-SLP
• Chloe Smith
• Jessica Lyn Smith, LMSW
• Kendra L. Smith, PTA
• Lisa Marie Richards Snider, M.ED., LPC
• Asem Souman, MD
• Southeast Texas Family Health & Wellness Center
• Southeast Texas Hospice
• Venkatesh C. S. Srinibasa Murphy, M. S., PH. D.

• All providers in Orange, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.