Individual provider Active NPI

Tonya Hall Smith, LPC, LMFT

  • Professional Counselor
  • Vicksburg, MS
National Provider Identifier
1073866513
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1249 Issued in MS
Practice address
520 Depot St
Vicksburg, MS 39180-3504
Phone
(601) 831-3304
Fax
(601) 456-4212
NPI assigned
Oct 22, 2012
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2022-0119 NM
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 1249 MS Primary
Professional Counselor 101YP2500X 3869 LA
Professional Counselor 101YP2500X 103117 TX
Marriage & Family Therapist 106H00000X T0253 MS

Addresses

Primary practice location

520 Depot St
Vicksburg, MS 39180-3504

Mailing address

30 Mill Wood Cir
Vicksburg, MS 39180-1344
Phone (601) 831-3304

Other identifiers 1

IdentifierTypeStateIssuer
08574217MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20240111002816 MS Practitioner - Marriage and Family Therapist 6002267234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3869LAMDProfessional Counselor
1249MSMDProfessional Counselor
T0253MSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1073866513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MILL WOOD CIR",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391801344",
            "telephone_number": "601-831-3304",
            "fax_number": "601-456-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 DEPOT ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803504",
            "telephone_number": "601-831-3304",
            "fax_number": "601-456-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TONYA",
        "middle_name": "HALL",
        "name_prefix": "Dr.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0119",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1249",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3869",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "103117",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08574217",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

Verify at the official NPI Registry.