Active NPI
Desa Lynn Smith, MSPS, LPC
- Professional Counselor
- Purcell, OK
National Provider Identifier
1063802783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6598
- Practice address
- 112 W Main St
Purcell, OK 73080-4220 - Phone
- (405) 527-1785
- NPI assigned
- Feb 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6598 | OK | Primary |
Addresses
Primary practice location
112 W Main St
Purcell, OK 73080-4220
Mailing address
PO Box 662
Purcell, OK 73080-0662
Phone (405) 527-1785
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6598 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1063802783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662",
"city": "PURCELL",
"state": "OK",
"postal_code": "730800662",
"telephone_number": "405-527-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W MAIN ST",
"city": "PURCELL",
"state": "OK",
"postal_code": "730804220",
"telephone_number": "405-527-1785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DESA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSPS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purcell, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.