Individual provider Active NPI

Maria Christine Lavorgna-Smith, PH.D.LPC,LMFT,ATR-BC

  • Professional Counselor
  • Plano, TX
National Provider Identifier
1053412445
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11596 Issued in TX
Practice address
6752 Macintosh Dr
Plano, TX 75023-1770
Phone
(972) 978-0814
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 11596 TX Primary

Addresses

Primary practice location

6752 Macintosh Dr
Plano, TX 75023-1770

Mailing address

6752 Macintosh Dr
Plano, TX 75023-1770
Phone (972) 978-0814

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11596TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1053412445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6752 MACINTOSH DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231770",
            "telephone_number": "972-978-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6752 MACINTOSH DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750231770",
            "telephone_number": "972-978-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVORGNA-SMITH",
        "first_name": "MARIA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.LPC,LMFT,ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.