Organization Active NPI

Kara M. Smith, LLC

  • Professional Counselor
  • Ponca City, OK
National Provider Identifier
1063878221
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5884 Issued in OK
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

Updated by the provider on Jan 4, 2016

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200580780AMedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.