Active NPI
Kara M. Smith, LLC
- Professional Counselor
- Ponca City, OK
National Provider Identifier
1063878221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5884
- Legal business name
- KARA M. SMITH, LLC
- Practice address
- 425 Fairview Ave
Suite 1
Ponca City, OK 74601-1902 - Phone
- (580) 382-5772
- Fax
- (580) 382-5731
- NPI assigned
- Jan 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Smith, LPC
- Title
- Mental Health Therapist
- Phone
- (580) 382-5772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5884 | OK | Primary |
Addresses
Primary practice location
425 Fairview Ave
Suite 1
Ponca City, OK 74601-1902
Mailing address
425 Fairview Ave
Suite 1
Ponca City, OK 74601-1902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200580780A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451865600000",
"number": "1063878221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 FAIRVIEW AVE",
"address_2": "SUITE 1",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 FAIRVIEW AVE",
"address_2": "SUITE 1",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011902",
"telephone_number": "580-382-5772",
"fax_number": "580-382-5731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KARA M. SMITH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-04",
"last_updated": "2016-01-04",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "580-382-5772",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "OK",
"license": "5884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200580780A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.