Marcie J Smith, LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180002075 Issued in IL

Practice address

226 State St
St Charles, IL 60174-1864

Phone

(630) 587-3777

Fax

(630) 587-3791

NPI assigned

Jul 7, 2009

Last updated

Aug 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Valley Counseling Center PC

  • Clinical Social Worker
  • Batavia, IL
  • NPI 1114260114
  NPD (past)
• Riverview Counseling Services, LTD.

  • Mental Health Counselor
  • St Charles, IL
  • NPI 1912078262

  Professional

  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1053540559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 STATE ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741864",
            "telephone_number": "630-587-3777",
            "fax_number": "630-587-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 STATE ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741864",
            "telephone_number": "630-587-3777",
            "fax_number": "630-587-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARCIE",
        "middle_name": "J",
        "credential": "LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002075",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1912078262",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kam Smith, LPN
• Kimberly Anne Smith
• Kyle James Smith, LCPC, NCC
• Lauren Smith
• Lindsay Catherine Smith, LPC
• Peter Joseph Smith, DDS
• Sarah Elizabeth Smith, M.D.
• Steven H Smith, LCSW
• Steven Wayne Smunt, D.D.S.
• Smyles and Company PLLC

• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.