Constance Sally Smith, LADC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

1230 Eagan Industrial Rd
Suite 100
Eagan, MN 55121-1264

Phone

(612) 454-2243

Fax

(651) 454-2972

NPI assigned

Apr 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• People Incorporated

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1215104831
  Medicare reassignment NPD
• People Incorporated

  • Community/Behavioral Health Agency
  • New Hope, MN
  • NPI 1720356900
  NPD

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1063703221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 45TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172336",
            "telephone_number": "605-728-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 EAGAN INDUSTRIAL RD",
            "address_2": "SUITE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211264",
            "telephone_number": "612-454-2243",
            "fax_number": "651-454-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CONSTANCE",
        "middle_name": "SALLY",
        "credential": "LADC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Smillie, OTRL
• Brittney Smith, PHARM.D.
• Casey C Smith, D.C.
• Christina Ashley Smith, RN
• Christopher W Smith, CPRS
• Courtney J Smith, PAC
• Gabrielle Elizabeth Smith
• Jenna J Smith
• Kayode Kwesi Smith, KAYODE KWESI SMITH
• Kelsey Anne-Jahr Smith, M.S., CF-SLP

• Professional Counselor in Eagan, MN
• Providers in Eagan, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.